Individual provider Active NPI

David M Michalski, OTR/L

  • Occupational Therapist
  • Albuquerque, NM
National Provider Identifier
1023681533
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT4488 Issued in NM
Practice address
10320 Cottonwood Park NW Ste a
Albuquerque, NM 87114-7008
Phone
(505) 250-5204
Fax
(505) 345-4450
NPI assigned
Jul 22, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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 OT4488 NM Primary

Addresses

Primary practice location

10320 Cottonwood Park NW Ste a
Albuquerque, NM 87114-7008

Mailing address

3533 Luke Cir NW
Albuquerque, NM 87107-3014
Phone (505) 480-7675

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
OT4488NMMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1023681533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 LUKE CIR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871073014",
            "telephone_number": "505-480-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 COTTONWOOD PARK NW STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871147008",
            "telephone_number": "505-250-5204",
            "fax_number": "505-345-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALSKI",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "OT4488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.