NPIMap

Individual provider Active NPI

Elisa Beth Michaud-Hanson, PA, OT

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1336301357
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA02165 Issued in TX
Practice address
2100 West Loop S
Houston, TX 77027-3515
Phone
(281) 788-6661
NPI assigned
Jun 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA02165 TX Primary
Pediatric Occupational Therapist 225XP0200X 115114 TX
Neurorehabilitation Occupational Therapist 225XN1300X 115114 TX
Human Factors Occupational Therapist 225XH1300X 115114 TX

Addresses

Primary practice location

2100 West Loop S
Houston, TX 77027-3515

Mailing address

11107 Homrighaus Rd
Galveston, TX 77554-9479
Phone (281) 788-6661

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
115114TXMDHuman Factors Occupational Therapist
PA02165TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Suchowiecky Center Past Accepting new patients
Felipe Rios, M.D. and Associates, P.a. Past Accepting new patients
Arun K Mukhopadhyay MD PA Past Accepting new patients
Skilled Facility Health Care Solutions Inc Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1336301357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11107 HOMRIGHAUS RD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775549479",
            "telephone_number": "281-788-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEST LOOP S",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770273515",
            "telephone_number": "281-788-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAUD-HANSON",
        "first_name": "ELISA",
        "middle_name": "BETH",
        "credential": "PA, OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02165",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "115114",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "TX",
            "license": "115114",
            "primary": false
        },
        {
            "code": "225XH1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Human Factors",
            "state": "TX",
            "license": "115114",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.