Michelle Walls, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00468900 Issued in NJ

Practice address

321 Norristown Rd Ste 220
Supplemental Health Care
Ambler, PA 19002-2755

Phone

(215) 646-5400

Fax

(215) 646-5401

NPI assigned

Jul 8, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cypress Creek Therapy Associates LLC

  • Physical Therapist
  • Severna Park, MD
  • NPI 1487603064

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1235392481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W PARK AVE APT 25D",
            "city": "LINDENWOLD",
            "state": "NJ",
            "postal_code": "080213638",
            "telephone_number": "215-646-5400",
            "fax_number": "215-646-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 NORRISTOWN RD STE 220",
            "address_2": "SUPPLEMENTAL HEALTH CARE",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190022755",
            "telephone_number": "215-646-5400",
            "fax_number": "215-646-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLS",
        "first_name": "MICHELLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "06010",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC010559",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00468900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lauren Visintainer, DPT
• Maya Vogin, MSW, M.ED
• Waibel Dental
• Svetlana Waibel
• Laura E Wall, LSW
• Ashley Pearl Walters, LPC, ATR-BC
• Weiping Wang, L.AC
• Alexia Rae Waszewski
• Danielle West
• Denis Whalen, RN

• Occupational Therapist in Ambler, PA
• Providers in Ambler, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.