Individual provider Active NPI

Michelle McCloskey, OT/L

  • Occupational Therapist
  • Leonardtown, MD
National Provider Identifier
1306116249
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2653 Issued in MD
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

Updated by the provider on Mar 11, 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 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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
2653MDMDOccupational Therapist
02653MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.