Greg Scott McMicheal, MOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT60575005 Issued in WA

Practice address

785 SE Bayshore Dr Ste 102
Oak Harbor, WA 98277-3275

Phone

(360) 279-8323

NPI assigned

Sep 18, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Rue - Primavera Occupational & Physical Therapy LLC

  • Occupational Therapist
  • Oak Harbor, WA
  • NPI 1942410907
  NPD

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1124806468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6546 WINTERGREEN DR",
            "city": "CLINTON",
            "state": "WA",
            "postal_code": "982368405",
            "telephone_number": "360-682-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 SE BAYSHORE DR STE 102",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773275",
            "telephone_number": "360-279-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMICHEAL",
        "first_name": "GREG",
        "middle_name": "SCOTT",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60575005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda McGlone
• Brandi McIntyre
• Heather Rae McKeighan
• Valrose McKennon
• Megan McLeod Hibler
• Quinn J McQuade
• Melissa McSwain, LMP
• Amanda Renee McWherter
• Laura McWilliams
• Landon Christopher Meadors

• Occupational Therapist in Oak Harbor, WA
• Providers in Oak Harbor, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.