Individual provider Active NPI

Michelle Marie Hardwick, OTRL MS

  • Occupational Therapist
  • Columbus, OH
National Provider Identifier
1073719852
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-05174 Issued in OH
Practice address
44 S Souder Ave
Columbus, OH 43222-1539
Phone
(614) 228-5900
Fax
(614) 228-3989
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 OT-05174 OH Primary

Addresses

Primary practice location

44 S Souder Ave
Columbus, OH 43222-1539

Mailing address

6152 Shelba Dr
Galloway, OH 43119-8931
Phone (614) 851-8671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200415000168 OH Practitioner - Occupational Therapist in Private Practice 8325478324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affordable Home Health Care LLCGroup PAC ID 9739192147, 42 clinicians

Practice addresses (Care Compare)

800 Yard St
Suite 300
Grandview Heights, OH 43212-3882
Phone (614) 866-8158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT-05174OHMDOccupational Therapist

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.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073719852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6152 SHELBA DR",
            "city": "GALLOWAY",
            "state": "OH",
            "postal_code": "431198931",
            "telephone_number": "614-851-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 S SOUDER AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221539",
            "telephone_number": "614-228-5900",
            "fax_number": "614-228-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDWICK",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "OTRL  MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT-05174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.