Active NPI
Michelle Wirth Shega, OTR/L
- Rehabilitation Hospital
- Avon, OH
National Provider Identifier
1356877567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital
- License
- 056011970
- 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, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|
| 056011970 | IL | MD | Rehabilitation 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.