Michayla Lee Hosmer – Occupational Therapist

Key facts

NPI: 1073378048
Entity type: Individual (NPI type 1)
Primary specialty: Occupational Therapist 225X00000X
License: 16591 (NC)
Practice address: 58 Physicians Dr NW Ste 106
Supply, NC 28462-4216
Phone: (910) 755-5437
Fax: (910) 755-6076
NPI assigned: Feb 19, 2024
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Creative Hands Occupational Therapy Pediatric Occupational Therapist · Supply, NC · NPI 1235188780

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
16591	NC	MD	Occupational Therapist

Practice roles

Organization	Specialty	Status	New patients
Creative Hands Occupational Therapy		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Occupational Therapist	225X00000X	16591	NC	Yes

Addresses

Primary practice location

58 Physicians Dr NW Ste 106
Supply, NC 28462-4216

Mailing address

58 Physicians Dr NW Ste 106
Supply, NC 28462-4216
Phone (910) 755-5437

Other providers in Supply, NC

All providers in Supply, NC · Occupational Therapist in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.