Individual provider Active NPI

Michelle Antoinette Pate, OTR/L

  • Occupational Therapist
  • Lithonia, GA
National Provider Identifier
1255918652
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT007941 Issued in GA
Practice address
115 Arbor Crossing Dr
Lithonia, GA 30058-4883
Phone
(708) 415-2443
NPI assigned
Mar 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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 OT007941 GA Primary

Addresses

Primary practice location

115 Arbor Crossing Dr
Lithonia, GA 30058-4883

Mailing address

115 Arbor Crossing Dr
Lithonia, GA 30058-4883
Phone (708) 415-2443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250121001143 GA Practitioner - Occupational Therapist in Private Practice 0941739940 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc CurrentSince Oct 1, 2024 Accepting new patients
Physiotherapy Associates Inc CurrentSince Oct 1, 2024 Accepting new patients
Therapeutic Outcomes for Self-Sufficiency Occupational Therapist CurrentSince Feb 18, 2024 Accepting new patients

Locations

520 W Ponce de Leon Ave
Unit 2445
Decatur, GA 30031

76 Highland Pavilion Ct
Ste 185
Hiram, GA 30141
Phone (678) 384-0844

76 Highland Pavilion Ct
Ste 109
Hiram, GA 30141
Phone (678) 384-0844

966A Killian Hill Rd SW
Lilburn, GA 30047
Phone (770) 923-4815

Organizations & group practices 3

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": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1255918652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ARBOR CROSSING DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584883",
            "telephone_number": "708-415-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ARBOR CROSSING DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584883",
            "telephone_number": "708-415-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATE",
        "first_name": "MICHELLE",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT007941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.