Individual provider Active NPI

Michele Durovic, OTR/ L

  • Occupational Therapist
  • Greenville, SC
National Provider Identifier
1255616876
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1315 Issued in SC
Practice address
100 Blassingame Rd
Greenville, SC 29605-3304
Phone
(864) 452-0018
Fax
(864) 355-9829
NPI assigned
Oct 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1315 SC Primary

Addresses

Primary practice location

100 Blassingame Rd
Greenville, SC 29605-3304

Mailing address

100 Blassingame Rd
Greenville, SC 29605-3304
Phone (864) 452-0018

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

LicenseStateTypeSpecialty
1315SCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville County School District PastSince Oct 13, 2024 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": "1318550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1255616876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BLASSINGAME RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296053304",
            "telephone_number": "864-452-0018",
            "fax_number": "864-355-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BLASSINGAME RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296053304",
            "telephone_number": "864-452-0018",
            "fax_number": "864-355-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUROVIC",
        "first_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "OTR/ L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-14",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "1315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.