Carol Michelle Personius, O.T.R./L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

976389 Issued in OR

Practice address

873 NE 7TH St
Grants Pass, OR 97526-1634

Phone

(541) 479-7573

NPI assigned

Oct 23, 2009

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)

Enrolled

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256256000000",
    "number": "1336475458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 GRANITE HILL RD",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975267895",
            "telephone_number": "541-479-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 NE 7TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261634",
            "telephone_number": "541-479-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSONIUS",
        "first_name": "CAROL",
        "middle_name": "MICHELLE",
        "credential": "O.T.R./L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "976389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Elizabeth Perkins
• Samantha Elizabeth Perkins, QMHP
• Cierra Chree Leeann Perreard
• Eric Matthew Perry, M.D.
• Bradley Personius, MD
• Jordan Personius, PA
• Teresa M Persson, MS LPC
• Peter Shelby Bogard DO
• Marla Peters, MD
• Katie Petersen, CPM, LDM

• Occupational Therapist in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.