Michelle Elizabeth Dickes, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1301 Issued in NE

Practice address

1305 Hwy 6 & 34
Cambridge, NE 69022

Phone

(308) 697-4178

Fax

(308) 697-4129

NPI assigned

Oct 26, 2007

Last updated

Nov 12, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Michelle Coufal Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1083893986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 W 35TH ST",
            "address_2": "STE 2",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452909",
            "telephone_number": "308-237-7388",
            "fax_number": "308-237-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 HWY 6 & 34",
            "city": "CAMBRIDGE",
            "state": "NE",
            "postal_code": "69022",
            "telephone_number": "308-697-4178",
            "fax_number": "308-697-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKES",
        "first_name": "MICHELLE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-26",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "1301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "COUFAL",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Therapist in Cambridge, NE
• Providers in Cambridge, NE by specialty
• Occupational Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.