Michelle Campodonico, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

387385 Issued in TX

Practice address

4113 Gateway Dr
Colleyville, TX 76034-5609

Phone

(817) 793-7764

NPI assigned

Jan 13, 2018

Last updated

Jan 13, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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

• Sparrow Kids Pediatric Therapy

  • Pediatric Occupational Therapist
  • Abilene, TX
  • NPI 1043073182

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1515801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515801600000",
    "number": "1346758224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 ROXBORO RD",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760394034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 GATEWAY DR",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345609",
            "telephone_number": "817-793-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPODONICO",
        "first_name": "MICHELLE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-13",
        "last_updated": "2018-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "387385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jachin Byrd
• Kathryn S Byrd, DO
• Jill Ann Cahill, PT
• Patricia Ann Calabria, D.D.S.
• Amanda Ellen Campo, MS OTR/L
• Carol Ann Caprio, LPC INTERN
• Cassie Allison, DDS, PLLC
• Alicia K Castello, D.C.
• Center of Hope Counseling & Family Services
• Nives Chan, PA

• Pediatric Occupational Therapist in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.

Verify at the official NPI Registry.