Michelle Lyn Nelson, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Practice address

386 Tuttle LN
Burbank, WA 99323-9717

Phone

(509) 302-1459

NPI assigned

Nov 15, 2012

Last updated

Feb 26, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Therapy Options LLC

  • Occupational Therapist
  • Burbank, WA
  • NPI 1679001580
  Authorized official Same address or phone
• Childrens Developmental Center

  • Developmentally Disabled Services Day Training Agency
  • Richland, WA
  • NPI 1154528552
  NPD (past)
• Tier 1 Therapy LLC

  • Physical Therapist
  • Richland, WA
  • NPI 1063062099
  NPD (past)

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1043554181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 TUTTLE LN",
            "city": "BURBANK",
            "state": "WA",
            "postal_code": "993239717",
            "telephone_number": "509-302-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 TUTTLE LN",
            "city": "BURBANK",
            "state": "WA",
            "postal_code": "993239717",
            "telephone_number": "509-302-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MICHELLE",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "WA",
            "license": "00001513",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00001513",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marisa Dexter
• Jamie Ellis
• Shelie Greco
• Donette Faye Marks, SLPA
• Shellie M. Michael, L.M.P.
• Katie Olson
• Maria Cano Stenkamp, RN
• Therapy Options LLC
• Tlatoa Therapy Services LLC
• Melissa Vandertop

• Pediatric Occupational Therapist in Burbank, WA
• Providers in Burbank, WA by specialty
• Pediatric Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.