Active NPI
Shannon Kathleen Michel
- Occupational Therapist
- Centennial, CO
National Provider Identifier
1053188565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT.0003419
- Practice address
- 18142 E Dorado Ave
Centennial, CO 80015-3077 - Phone
- (720) 935-4648
- NPI assigned
- Dec 5, 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 | OT.0003419 | CO | Primary |
Addresses
Primary practice location
18142 E Dorado Ave
Centennial, CO 80015-3077
Mailing address
18142 E Dorado Ave
Centennial, CO 80015-3077
Phone (720) 935-4648
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT.0003419 | CO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1053188565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18142 E DORADO AVE",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "800153077",
"telephone_number": "720-935-4648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18142 E DORADO AVE",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "800153077",
"telephone_number": "720-935-4648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHEL",
"first_name": "SHANNON",
"middle_name": "KATHLEEN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-05",
"last_updated": "2023-12-05",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "OT.0003419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centennial, CO
- Michael J. Franquemont, DDS,PLC
- Michael Stiwich PT LLC (Revelation Physical Therapy)
- Deborah J. Michael, D.D.S., M.S.
- Thomas Stanley Michalik, DMD
- Sarah Noella Michaud, LCSW
- Justin Michener, PH.D.
- Martha Cronin Middlemist, MD
- Cory L Miglizzi, CMT LMT
- David Jordan Milchiker
- Mile High Spine and Pain Clinic Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.