Active NPI
Michelle Denise Ravish, MOT, OTR/L
- Occupational Therapist
- Winston Salem, NC
National Provider Identifier
1326471533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6049
- Practice address
- 3812 Forestgate Drive
Winston Salem, NC 27103-3806 - Phone
- (336) 768-2011
- Fax
- (336) 760-4258
- NPI assigned
- Aug 12, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6049 | NC | Primary |
Addresses
Primary practice location
3812 Forestgate Drive
Winston Salem, NC 27103-3806
Mailing address
3812 Forrestgate Dr
Winston Salem, NC 27103-3036
Phone (336) 768-2011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6049 | NC | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376265600000",
"number": "1326471533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3812 FORRESTGATE DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033036",
"telephone_number": "336-768-2011",
"fax_number": "336-760-4258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3812 FORESTGATE DRIVE",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033806",
"telephone_number": "336-768-2011",
"fax_number": "336-760-4258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVISH",
"first_name": "MICHELLE",
"middle_name": "DENISE",
"name_prefix": "Mrs.",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-12",
"last_updated": "2013-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "6049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.