Michelle Ann Ytac Hedge

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

3880 Issued in MS

Practice address

16170 Kingsport Rd
Orland Park, IL 60467-5602

Phone

(708) 326-1550

Fax

(708) 326-1557

NPI assigned

May 1, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Quality Therapy & Consultation, Inc.

  • Physical Therapist
  • Orland Park, IL
  • NPI 1982633715

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1376920058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FIANNA WAY",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729190001",
            "telephone_number": "479-201-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16170 KINGSPORT RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675602",
            "telephone_number": "708-326-1550",
            "fax_number": "708-326-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDGE",
        "first_name": "MICHELLE ANN",
        "middle_name": "YTAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-01",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "3880",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "IL",
            "license": "056008720",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "IL",
            "license": "056008720",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "MS",
            "license": "3880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346420015",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Health Center Chiropractic LTD
• Health Nurture LLC
• Stephen Matthew Heaney D.D.S. P.C., D.D.S
• Heart to Hearts Services, Inc.
• Heart to Hearts Services, Inc.
• Lamiaa Hefni
• Schweta Heidecke, D.C.
• Doris Hein, M.D.
• Melissa Heinemann, PSYD
• Hellodoc Care LLC

• Gerontology Occupational Therapist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Gerontology Occupational Therapist in Illinois

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