Individual provider Active NPI

Michelle Miles-Kessell

  • Hand Occupational Therapist
  • San Diego, CA
National Provider Identifier
1265756019
Registry record updated Oct 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
7372 Issued in CA
Practice address
9988 Hibert St Ste 208
San Diego, CA 92131-2480
Phone
(858) 227-7229
Fax
(858) 221-4177
NPI assigned
Mar 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 7372 CA Primary

Addresses

Primary practice location

9988 Hibert St Ste 208
San Diego, CA 92131-2480

Mailing address

12386 Sycamore Ridge CT
San Diego, CA 92131-3227
Phone (858) 566-8842

Other names 1

  • Ms. Michelle Kessell Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131227000794 CA Practitioner - Occupational Therapist in Private Practice 9436386232 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mission Occupational and Hand Therapy Services ApcGroup PAC ID 8123431038, 3 clinicians
Ortho 1 Medical GroupGroup PAC ID 0042619876, 18 clinicians

Practice addresses (Care Compare)

12386 Sycamore Ridge CT
San Diego, CA 92131-3227
Phone (858) 761-8101

5643 Copley Dr
Suite 230
San Diego, CA 92111-7903
Phone (858) 302-5665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7372CAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Occupational and Hand Therapy Services Apc Hand CurrentSince Jan 8, 2021 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Jul 1, 2018 Accepting new patients
In-Home Physical Therapy PC CurrentSince Nov 11, 2013 Accepting new patients
Ortho 1 Medical Group CurrentSince Oct 1, 2024 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Jul 1, 2018 Accepting new patients

Locations

533 2nd St
Ste 341
Encinitas, CA 92024
Phone (760) 271-3850

16899 W Bernardo Dr
San Diego, CA 92127
Phone (858) 499-2705

5643 Copley Dr
Ste 230
San Diego, CA 92111
Phone (858) 302-5665

9988 Hibert St
Ste 208
San Diego, CA 92131
Phone (858) 227-7229

5643 Copley Dr
Ste 300
San Diego, CA 92111
Phone (858) 455-9942

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

9968 Hibert St
Ste 101
San Diego, CA 92131
Phone (626) 253-1740

230 Prospect Pl
Ste 230
San Diego, CA 92118
Phone (619) 435-7282

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728777600000",
    "number": "1265756019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12386 SYCAMORE RIDGE CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313227",
            "telephone_number": "858-566-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9988 HIBERT ST STE 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312480",
            "telephone_number": "858-227-7229",
            "fax_number": "858-221-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES-KESSELL",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-23",
        "last_updated": "2024-10-13",
        "certification_date": "2024-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "7372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "KESSELL",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.