Active NPI
Rhonda C. McMichael, OTR/L,HTC & PAM
- Occupational Therapist
- Fallbrook, CA
National Provider Identifier
1114901311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT1317
- Practice address
- 521 E Elder St
Ste 106
Fallbrook, CA 92028-3081 - Phone
- (760) 723-8337
- Fax
- (760) 723-5476
- NPI assigned
- Dec 1, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT1317 | CA | Primary |
Addresses
Primary practice location
521 E Elder St
Ste 106
Fallbrook, CA 92028-3081
Mailing address
24630 Washington Ave
Ste 200
Murrieta, CA 92562-6177
Phone (951) 696-9353
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0207372 | Other | WA | STATE OF WA |
| WOT1317A | Other | CA | MEDICARE PPIN |
| OT0013170 | Other | CA | BLUE SHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1317 | CA | MD | Naturopath |
| OT1317 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254873600000",
"number": "1114901311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24630 WASHINGTON AVE",
"address_2": "STE 200",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925626177",
"telephone_number": "951-696-9353",
"fax_number": "951-973-7216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 E ELDER ST",
"address_2": "STE 106",
"city": "FALLBROOK",
"state": "CA",
"postal_code": "920283081",
"telephone_number": "760-723-8337",
"fax_number": "760-723-5476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMICHAEL",
"first_name": "RHONDA",
"middle_name": "C.",
"credential": "OTR/L,HTC & PAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-01",
"last_updated": "2009-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT1317",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WA",
"identifier": "0207372",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PPIN",
"identifier": "WOT1317A",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "OT0013170",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fallbrook, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.