Individual provider Active NPI

Michelle Wirth Shega, OTR/L

  • Rehabilitation Hospital
  • Avon, OH
National Provider Identifier
1356877567
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
056011970 Issued in IL
Practice address
36711 American Way
Floor 1, Building Blocks Therapy
Avon, OH 44011
Phone
(216) 282-1234
NPI assigned
May 8, 2017
Last updated
May 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X OH
Rehabilitation Hospital 283X00000X 056011970 IL Primary

Addresses

Primary practice location

36711 American Way
Floor 1, Building Blocks Therapy
Avon, OH 44011

Mailing address

36711 American Way
Floor 1, Building Blocks Therapy
Avon, OH 44011
Phone (216) 282-1234

Other names 1

  • Miss Michelle Kathleen Wirth Former name

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

LicenseStateTypeSpecialty
056011970ILMDRehabilitation Hospital

NPI Registry JSON

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

{
    "created_epoch": "1494201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1356877567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36711 AMERICAN WAY",
            "address_2": "FLOOR 1, BUILDING BLOCKS THERAPY",
            "city": "AVON",
            "state": "OH",
            "postal_code": "44011",
            "telephone_number": "216-282-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36711 AMERICAN WAY",
            "address_2": "FLOOR 1, BUILDING BLOCKS THERAPY",
            "city": "AVON",
            "state": "OH",
            "postal_code": "44011",
            "telephone_number": "216-282-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEGA",
        "first_name": "MICHELLE",
        "middle_name": "WIRTH",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-08",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "IL",
            "license": "056011970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "WIRTH",
            "middle_name": "KATHLEEN",
            "prefix": "MISS",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Avon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.