Active NPI
Michelle Patino Sykimte, OTR
- Occupational Therapist
- Conroe, TX
National Provider Identifier
1154445336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR1959
- Practice address
- 1999 Lake of Wedgewood Dr
Conroe, TX 77304-3189 - Phone
- (971) 206-9786
- NPI assigned
- Mar 16, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTR1959 | AR | Primary |
| Occupational Therapist | 225X00000X | 112346 | TX |
Addresses
Primary practice location
1999 Lake of Wedgewood Dr
Conroe, TX 77304-3189
Mailing address
11720 Stidham Rd
Conroe, TX 77302-7641
Phone (281) 799-9249
Other practice location 1
954 Skyline
Suite 100
Searcy, AR 72143
Phone (501) 268-5008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156119721 | Medicaid | AR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTR1959 | AR | MD | Occupational Therapist |
| 112346 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri Therapy Inc | Occupational Therapist | Past | Accepting new patients |
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": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652313600000",
"number": "1154445336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11720 STIDHAM RD",
"city": "CONROE",
"state": "TX",
"postal_code": "773027641",
"telephone_number": "281-799-9249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1999 LAKE OF WEDGEWOOD DR",
"city": "CONROE",
"state": "TX",
"postal_code": "773043189",
"telephone_number": "971-206-9786"
}
],
"practiceLocations": [
{
"address_1": "954 Skyline",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Searcy",
"state": "AR",
"postal_code": "72143",
"country_code": "US",
"telephone_number": "501-268-5008",
"fax_number": "501-268-5025",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SYKIMTE",
"first_name": "MICHELLE",
"middle_name": "PATINO",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR1959",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "112346",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "156119721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.