Individual provider Active NPI

Natalie Mikkelsen, OTR/L

  • Occupational Therapist
  • San Luis Obispo, CA
National Provider Identifier
1356048979
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
22364 Issued in CA
Practice address
1130 Grove St Ste 101
San Luis Obispo, CA 93401-2914
Phone
(805) 542-0830
Fax
(805) 542-0205
NPI assigned
Feb 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 22364 CA Primary

Addresses

Primary practice location

1130 Grove St Ste 101
San Luis Obispo, CA 93401-2914

Mailing address

6485 Peachy Canyon Rd
Paso Robles, CA 93446-7668
Phone (225) 281-5306

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carol D. Arigo Occupational Therapist CurrentSince Feb 19, 2023 Accepting new patients

Locations

1130 Grove St
Ste 101
Sn Luis Obisp, CA 93401
Phone (805) 542-0205

Organizations & group practices 1

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": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1356048979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6485 PEACHY CANYON RD",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934467668",
            "telephone_number": "225-281-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 GROVE ST STE 101",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012914",
            "telephone_number": "805-542-0830",
            "fax_number": "805-542-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKKELSEN",
        "first_name": "NATALIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "22364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.