Michele Louise Dunham, MOTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT008697 Issued in OH

Practice address

3023 Wilmington Rd
Pediatric Therapy Professionals Inc
New Castle, PA 16105

Phone

(724) 656-8814

Fax

(724) 656-8815

NPI assigned

Mar 26, 2007

Sex

Female

Sole proprietor

No

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)

Not 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 and National Provider Directory roles.

• Pediatric Therapy Professionals Inc

  • Speech-Language Pathologist
  • New Castle, PA
  • NPI 1528186152

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1063530608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 ROBIN HOOD DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445113635",
            "telephone_number": "724-944-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 WILMINGTON RD",
            "address_2": "PEDIATRIC THERAPY PROFESSIONALS INC",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "16105",
            "telephone_number": "724-656-8814",
            "fax_number": "724-656-8815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7320 N Palmyra Rd",
            "address_purpose": "LOCATION",
            "city": "Canfield",
            "state": "OH",
            "postal_code": "444069709",
            "country_code": "US",
            "telephone_number": "330-533-8755",
            "fax_number": "330-533-8755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "MICHELE",
        "middle_name": "LOUISE",
        "name_prefix": "Miss",
        "credential": "MOTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC010241",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OH",
            "license": "OT008697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE #",
            "identifier": "1017855780001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael E. Drespling, DPM
• Natalie Drozda, MA, LPC, NCC
• DT Home Care
• Tawnya Dudash-Degruttola, LPC
• Jennifer Lynn Dundore, P.T.
• Melissa Durse, LBS
• Jessica Eakin
• Alexander Stephen Earp, LCSW
• Michelle Eckert
• Evelyn J Eddy, CADC, MAC

• Pediatric Occupational Therapist in New Castle, PA
• Providers in New Castle, PA by specialty
• Pediatric Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.