Kyle Michelson, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

5179 Issued in CT

Practice address

455 Boston Post Rd
Darien, CT 06820-3614

Phone

(203) 424-2584

NPI assigned

Apr 3, 2019

Sex

Male

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)

Not enrolled

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1356803845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 LAKEVIEW DR",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064602812",
            "telephone_number": "203-878-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 BOSTON POST RD",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068203614",
            "telephone_number": "203-424-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELSON",
        "first_name": "KYLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CT",
            "license": "5179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Sorensen, LCSW, LLC
• Kelly Anne Melchionno, NP-C
• Erin Patricia Micali, PSY.D.
• Joseph D Miceli, DDS
• Michele D. Brown, M.D., LLC
• Middlesex Dental Group PC
• Ashleigh E. Miller, LCSW
• Charles Miner III, M.D.
• Niloofar Mirsaidi, MD
• Monarch Orthodontics Corporation

• Pediatric Occupational Therapist in Darien, CT
• Providers in Darien, CT by specialty
• Pediatric Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.