Michelle Watts, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2024018084 Issued in MO

Practice address

501 SE 12TH St
Oak Grove, MO 64075-9384

Phone

(816) 690-4153

NPI assigned

May 28, 2024

Last updated

May 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Pediatric Therapy Services

  • Occupational Therapist
  • Wellington, MO
  • NPI 1679334023
  NPD (past)

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1306686308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11273 BARB RD",
            "city": "CORDER",
            "state": "MO",
            "postal_code": "640219105",
            "telephone_number": "816-803-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SE 12TH ST",
            "city": "OAK GROVE",
            "state": "MO",
            "postal_code": "640759384",
            "telephone_number": "816-690-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "MICHELLE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2024018084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arissa Ann Twente, RT(R)(M)(CT)
• Jessica Lynn Vanderklei, DC
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2856)
• Wal-Mart Stores East, LP (Vision Center 30-2856)
• Walgreen Co (Walgreens #11925)
• Austin Cole Webster, MA, ATC/L
• Melissa Kaye West, RPH
• Kipp Suzanne Wilhoit, RN
• Stephanie Wilson
• Thomas John Zlatohlavek, PHARM D

• Occupational Therapist in Oak Grove, MO
• Providers in Oak Grove, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.