Individual provider Active NPI

Michelle Kari Strade, OTR

  • Pediatric Occupational Therapist
  • Waipahu, HI
National Provider Identifier
1114056892
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
2435 Issued in HI
Practice address
94-1181 Ka Uka Blvd Ste C
Waipahu, HI 96797-4485
Phone
(808) 260-9056
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT0005988 CO
Pediatric Occupational Therapist 225XP0200X 2435 HI Primary

Addresses

Primary practice location

94-1181 Ka Uka Blvd Ste C
Waipahu, HI 96797-4485

Mailing address

485 Florida Rd TRLR B11
Durango, CO 81301-4767
Phone (505) 321-7192

Other practice location 1

2721 Indian Farm Ln NW
Albuquerque, NM 87107-2637
Phone (505) 321-3834

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
OT0005988COMDOccupational Therapist
2435HIMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sprouts Therapy LLC Pediatrics CurrentSince Dec 3, 2023 Accepting new patients

Locations

1425 Keolu Dr
Kailua, HI 96734
Phone (808) 260-9056

94-1181 Ka Uka Blvd
Ste C
Waipahu, HI 96797
Phone (808) 260-9056

94-1181 Ka Uka Blvd
Ste C
Waipahu, HI 96797

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1114056892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 FLORIDA RD TRLR B11",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014767",
            "telephone_number": "505-321-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-1181 KA UKA BLVD STE C",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974485",
            "telephone_number": "808-260-9056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2721 Indian Farm Ln NW",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871072637",
            "country_code": "US",
            "telephone_number": "505-321-3834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRADE",
        "first_name": "MICHELLE",
        "middle_name": "KARI",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT0005988",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "HI",
            "license": "2435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.