Active NPI
Michele Welker Gilbreath, OTR/L
- Occupational Therapist
- Fayetteville, NC
National Provider Identifier
1225223027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2866
- Practice address
- 3415 Melrose Road
Suite C-1
Fayetteville, NC 28304-1634 - Phone
- (910) 425-6282
- Fax
- (910) 425-6554
- NPI assigned
- Sep 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 2866 | NC | Primary |
| Occupational Therapist | 225X00000X | OT.003976 | OH |
Addresses
Primary practice location
3415 Melrose Road
Suite C-1
Fayetteville, NC 28304-1634
Mailing address
3415 Melrose Road
Suite C-1
Fayetteville, NC 28304-1634
Phone (910) 425-6282
Other names 1
- Michele W Regent
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 |
|---|---|---|---|
| 2866 | NC | MD | Counselor |
| OT.003976 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Early Intervention Services, LLC | Occupational Therapist | Past | Accepting new patients |
| Professional Early Intervention Services, LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Fayetteville, NC
- NPI 1285775866
Occupational Therapist
-
- Multi-Specialty Clinic/Center
- Fayetteville, NC
- NPI 1629151832
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302048000000",
"number": "1225223027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3415 MELROSE ROAD",
"address_2": "SUITE C-1",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283041634",
"telephone_number": "910-425-6282",
"fax_number": "910-425-6554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 MELROSE ROAD",
"address_2": "SUITE C-1",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283041634",
"telephone_number": "910-425-6282",
"fax_number": "910-425-6554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBREATH",
"first_name": "MICHELE",
"middle_name": "WELKER",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-14",
"last_updated": "2011-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "2866",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT.003976",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELE",
"last_name": "REGENT",
"middle_name": "W",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.