Active NPI
Michelle McCloskey, OT/L
- Occupational Therapist
- Leonardtown, MD
National Provider Identifier
1306116249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2653
- Practice address
- 25480 Point Lookout Rd Ste 200
Leonardtown, MD 20650-3801 - Phone
- (240) 256-3711
- NPI assigned
- Jan 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2653 | MD | Primary |
Addresses
Primary practice location
25480 Point Lookout Rd Ste 200
Leonardtown, MD 20650-3801
Mailing address
25480 Point Lookout Rd Ste 200
Leonardtown, MD 20650-3801
Phone (240) 256-3711
Other practice location 1
18535 Three Notch Rd
Lexington Park, MD 20653-3615
Phone (301) 880-1236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120809000023 | MD | Practitioner - Occupational Therapist in Private Practice | 2062668916 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2653 | MD | MD | Occupational Therapist |
| 02653 | MD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sense-Ability, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
41680 Miss Bessie Dr
Ste 303
Leonardtown, MD 20650
Phone (240) 256-3711
25480 Point Lookout Rd
Ste 200
Leonardtown, MD 20650
Phone (240) 256-3711
Organizations & group practices 2
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.
-
- Occupational Therapist
- Leonardtown, MD
- NPI 1225399801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1306116249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25480 POINT LOOKOUT RD STE 200",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "206503801",
"telephone_number": "240-256-3711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25480 POINT LOOKOUT RD STE 200",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "206503801",
"telephone_number": "240-256-3711"
}
],
"practiceLocations": [
{
"address_1": "18535 Three Notch Rd",
"address_purpose": "LOCATION",
"city": "Lexington Park",
"state": "MD",
"postal_code": "206533615",
"country_code": "US",
"telephone_number": "301-880-1236",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCLOSKEY",
"first_name": "MICHELLE",
"credential": "OT/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-10",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "2653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leonardtown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.