Michelle Luken, BS/MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

06176 Issued in MD

Practice address

11050 Mount Belvedere Blvd
Occupational Therapy Clinic
Fort Drum, NY 13602-5438

Phone

(315) 774-6246

Fax

(315) 774-6046

NPI assigned

Dec 17, 2013

Last updated

Dec 5, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science, Master of Science

State licenses

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1326469347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11050 MOUNT BELVEDERE BLVD",
            "address_2": "OCCUPATIONAL THERAPY CLINIC",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "136025438",
            "telephone_number": "315-774-6246",
            "fax_number": "315-774-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 MOUNT BELVEDERE BLVD",
            "address_2": "OCCUPATIONAL THERAPY CLINIC",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "136025438",
            "telephone_number": "315-774-6246",
            "fax_number": "315-774-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKEN",
        "first_name": "MICHELLE",
        "credential": "BS/MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-17",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "06176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Laurence Livingston, O.D.
• Mario Lopez, DENTAL ASSISTANT X2
• Mildred Rodriguez Lopez, BSN, RN, IBCLC
• Ronald Lovich, D.O.
• Jonathan P Ludlow, OD
• Quan M Luong, D.O.
• Michelle Luther
• Vania Ma, MD
• Wael K Mabrouk, DMD
• Mary Angela Macculloch, LCSW

• Occupational Therapist in Fort Drum, NY
• Providers in Fort Drum, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.