Active NPI
Michelle P Pavelek, MOTR/L
- Occupational Therapist
- Salem, OR
National Provider Identifier
1346727450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4809
- Practice address
- 2478 13TH St SE
Salem, OR 97302 - Phone
- (503) 779-1020
- NPI assigned
- Jul 20, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4809 | OR | Primary |
| Pediatric Occupational Therapist | 225XP0200X | 4809 | OR |
Addresses
Primary practice location
2478 13TH St SE
Salem, OR 97302
Mailing address
2825 Colorado Dr NW
Salem, OR 97304-1666
Phone (503) 508-5518
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 |
|---|---|---|---|
| 4809 | OR | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1346727450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 COLORADO DR NW",
"city": "SALEM",
"state": "OR",
"postal_code": "973041666",
"telephone_number": "503-508-5518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2478 13TH ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "97302",
"telephone_number": "503-779-1020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVELEK",
"first_name": "MICHELLE",
"middle_name": "P",
"credential": "MOTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-20",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "4809",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "OR",
"license": "4809",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.