Michelle Bourke

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

000532 Issued in MO

Practice address

14360 S Outer 40
Chesterfield, MO 63017-5710

Phone

(314) 431-5640

NPI assigned

Jan 25, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1232841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232841600000",
    "number": "1164660411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 BROOK HILL MANOR CT",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14360 S OUTER 40",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175710",
            "telephone_number": "314-431-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURKE",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-25",
        "last_updated": "2009-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MO",
            "license": "000532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prairie J Boschulte, LPC
• Chase Boucher, PHARMD
• Morgan Boudreau, NP
• Douglas Allen Bouldin, FNP-C
• Katherine Bourgerie
• Bourn and Associates, P.C.
• Pamela Boutaugh
• Kaylea Marie Boutwell, M.D.
• Latonya Bowens, LCSW
• Maryellen Bowman, N.P.

• Pediatric Occupational Therapist in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Pediatric Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.

Verify at the official NPI Registry.