Active NPI
Michelle D Wellman, OT
- Occupational Therapist
- Riverton, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT61194912
- Practice address
- 3741 W 12600 S Ste 200
Riverton, UT 84065-7215 - Phone
- (801) 285-3400
- Fax
- (801) 285-3401
- NPI assigned
- Feb 19, 2008
- Last updated
- Jun 30, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OC00001051 | WA | |
| Occupational Therapist | 225X00000X | OT61194912 | WA | Primary |
Addresses
Primary practice location
3741 W 12600 S Ste 200
Riverton, UT 84065-7215
Mailing address
572 S Crooked Post Way
Saratoga Springs, UT 84045-5449
Phone (509) 851-3791
Other names 1
- Michelle D Roblyer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9450 S 1300
Sandy, UT 84094-5555
Phone (801) 501-2133
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC00001051 | WA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Inspire Physical & Hand Therapy Spokane Inc. P.S. | Occupational Therapist | Past | Accepting new patients |
| Department of Social Dept of SHS Div of Instns | Past | Accepting new patients | |
| Eastern State Hospital Pharmacy | Past | Accepting new patients |
Locations
3741 W 12600 S
Ste 200
Riverton, UT 84065
Phone (801) 285-3400
5171 S Cottonwood St
Ste 900
Salt Lake City, UT 84107
Phone (801) 507-2050
9450 S 1300 E
Sandy, UT 84094
Phone (801) 501-2133
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Intermountain Physical Therapy and Rehabilitation
- Rehabilitation Clinic/Center
- Salt Lake City, UT
- NPI 1033822085
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
dba Eastern State Hospital
- Psychiatric Hospital
- Medical Lake, WA
- NPI 1467440602
-
- Long Term Care Pharmacy
- Medical Lake, WA
- NPI 1679651970
-
- Durable Medical Equipment & Medical Supplies
- Spokane, WA
- NPI 1447417357
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1043488570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "572 S CROOKED POST WAY",
"city": "SARATOGA SPRINGS",
"state": "UT",
"postal_code": "840455449",
"telephone_number": "509-851-3791",
"fax_number": "801-285-4301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3741 W 12600 S STE 200",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840657215",
"telephone_number": "801-285-3400",
"fax_number": "801-285-3401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLMAN",
"first_name": "MICHELLE",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-19",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "WA",
"license": "OC00001051",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT61194912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "ROBLYER",
"middle_name": "D",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Riverton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.