Individual provider Active NPI

Michele Carol Karmels, COTA

  • Occupational Therapy Assistant
  • Brookhaven, PA
National Provider Identifier
1265760995
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OP005746 Issued in PA
Practice address
30 Park Vallei LN
Brookhaven, PA 19015-3323
Phone
(610) 490-1234
NPI assigned
Nov 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OP005746 PA Primary

Addresses

Primary practice location

30 Park Vallei LN
Brookhaven, PA 19015-3323

Mailing address

30 Parkvallei Lane
Brookhaven, PA 19015
Phone (610) 490-1234

Other names 1

  • Michele Carol Richmond Former name

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
OP005746PAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1265760995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PARKVALLEI LANE",
            "city": "BROOKHAVEN",
            "state": "PA",
            "postal_code": "19015",
            "telephone_number": "610-490-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PARK VALLEI LN",
            "city": "BROOKHAVEN",
            "state": "PA",
            "postal_code": "190153323",
            "telephone_number": "610-490-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARMELS",
        "first_name": "MICHELE",
        "middle_name": "CAROL",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP005746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "RICHMOND",
            "middle_name": "CAROL",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brookhaven, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.