Individual provider Active NPI

Noelle Marie Conley, OTRL

  • Occupational Therapist
  • Saginaw, MI
National Provider Identifier
1073162525
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201010513 Issued in MI
Practice address
6161 State St
Saginaw, MI 48603-3426
Phone
(989) 790-3781
NPI assigned
Sep 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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 5201010513 MI Primary

Addresses

Primary practice location

6161 State St
Saginaw, MI 48603-3426

Mailing address

6161 State St
Saginaw, MI 48603-3426
Phone (989) 790-3781

Other names 1

  • Noelle Marie Myers Former name

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

LicenseStateTypeSpecialty
5201010513MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paramount Rehabilitation Services, PC CurrentSince Sep 25, 2022 Accepting new patients
Paramount Rehabilitation Services, PC Occupational Therapist PastSince Sep 25, 2022 Accepting new patients

Locations

6161 State St
Saginaw, MI 48603
Phone (989) 790-3781

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1567814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1073162525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033426",
            "telephone_number": "989-790-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033426",
            "telephone_number": "989-790-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "NOELLE",
        "middle_name": "MARIE",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-07",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201010513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOELLE",
            "last_name": "MYERS",
            "middle_name": "MARIE",
            "credential": "OTRL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.