Active NPI
Michelle Lanore, OTR/L
- Occupational Therapist
- Wyoming, MI
National Provider Identifier
1033634134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201002447
- Practice address
- 2708 Meyer Ave SW
Wyoming, MI 49519-2333 - Phone
- (231) 531-0672
- Fax
- (616) 965-4803
- NPI assigned
- Aug 9, 2017
- Last updated
- Dec 29, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201002447 | MI | Primary |
Addresses
Primary practice location
2708 Meyer Ave SW
Wyoming, MI 49519-2333
Mailing address
973 Hamptons CT Apt 6
Norton Shores, MI 49441-5693
Phone (231) 531-0672
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703808000000",
"number": "1033634134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "973 HAMPTONS CT APT 6",
"city": "NORTON SHORES",
"state": "MI",
"postal_code": "494415693",
"telephone_number": "231-531-0672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2708 MEYER AVE SW",
"city": "WYOMING",
"state": "MI",
"postal_code": "495192333",
"telephone_number": "231-531-0672",
"fax_number": "616-965-4803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANORE",
"first_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-09",
"last_updated": "2023-12-29",
"certification_date": "2023-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201002447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyoming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.