Michele Bailey, COTA
Individual provider Active NPI Occupational Therapy Assistant · Willow Park, TX
NPI 1316420508 · NPPES record last updated Sep 13, 2018
Key facts
- NPI
- 1316420508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 214235 (TX)
- Practice address
- 300 Crown Pointe Blvd
Willow Park, TX 76087-1160 - Phone
- (817) 757-1200
- NPI assigned
- Sep 13, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214235 | TX | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 214235 | TX | Yes |
Addresses
Primary practice location
300 Crown Pointe Blvd
Willow Park, TX 76087-1160
Mailing address
300 Crown Pointe Blvd
Willow Park, TX 76087-1160
Phone (817) 757-1200
Other providers in Willow Park, TX
- Aspire Skin Health, PLLC
- Fiona Giretta Atitso
- Jennifer Baars
- Agna Elizabeth Bailey
- Jessica Bailey
- Marisa R Baker
- Michael Ball
- Julianna Bauer
- Christina Bazan
- Isabel Beale
All providers in Willow Park, TX · Occupational Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.