Individual provider Active NPI

Michelle Catherine Stahl

  • Occupational Therapist
  • Baltimore, MD
National Provider Identifier
1023457470
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
07177 Issued in MD
Practice address
1741 Ashland Ave RM 646
Baltimore, MD 21205-1531
Phone
(443) 923-1842
NPI assigned
Jun 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 07177 MD Primary

Addresses

Primary practice location

1741 Ashland Ave RM 646
Baltimore, MD 21205-1531

Mailing address

75 Roger Valley CT
Parkville, MD 21234-1443

Other practice location 1

645 Baltimore Annapolis Blvd
Ste 111
Severna Park, MD 21146-3931
Phone (410) 544-2500 ext. 2583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
07177MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress Creek Therapy Associates LLC Occupational Therapist PastSince May 11, 2011 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1023457470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 ROGER VALLEY CT",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212341443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 ASHLAND AVE RM 646",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212051531",
            "telephone_number": "443-923-1842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "645 Baltimore Annapolis Blvd",
            "address_2": "Ste 111",
            "address_purpose": "LOCATION",
            "city": "Severna Park",
            "state": "MD",
            "postal_code": "211463931",
            "country_code": "US",
            "telephone_number": "410-544-2500 x2583",
            "fax_number": "410-384-9703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAHL",
        "first_name": "MICHELLE",
        "middle_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "07177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.