Individual provider Active NPI

Michelle Lanore, OTR/L

  • Occupational Therapist
  • Wyoming, MI
National Provider Identifier
1033634134
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201002447 Issued in MI
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 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 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.

Verify at the official NPI Registry.