Amanda Ellen Michel, MLD, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

003977 Issued in CT

Practice address

1011 High Ridge Rd
Second Floor
Stamford, CT 06905-1610

Phone

(203) 200-7256

Fax

(646) 626-7586

NPI assigned

Jun 18, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1306285903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 HIGH RIDGE RD",
            "address_2": "SECOND FLOOR",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051610",
            "telephone_number": "203-200-7256",
            "fax_number": "646-626-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 HIGH RIDGE RD",
            "address_2": "SECOND FLOOR",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051610",
            "telephone_number": "203-200-7256",
            "fax_number": "646-626-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "AMANDA",
        "middle_name": "ELLEN",
        "credential": "MLD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CT",
            "license": "003977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL REGISTERED OCCUPATIONAL THERAPIST",
            "identifier": "056.005907",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICUT LICENSE",
            "identifier": "003977",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Quinnisha Middleton, PMHNP
• Mitchell Migden, R.PH.
• Kimmery Migel, DPT
• Missy Milbrun

• Pediatric Occupational Therapist in Stamford, CT
• Providers in Stamford, CT by specialty
• Pediatric Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.