Michelle W Ciccantelli, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201000613 Issued in MI

Practice address

888 Terrace St
Muskegon, MI 49440-1220

Phone

(231) 672-4663

Fax

(231) 672-4986

NPI assigned

Nov 26, 2018

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1386113074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 WASHINGTON AVE",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171457",
            "telephone_number": "616-842-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 TERRACE ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494401220",
            "telephone_number": "231-672-4663",
            "fax_number": "231-672-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCANTELLI",
        "first_name": "MICHELLE",
        "middle_name": "W",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201000613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madalene Chronister
• Crystal Chumley-Jarvis, LLMSW
• Lakisha R Churchwell
• Louis Eric Churchwell, BS, ICRC, CADC
• Ronald Craig Chusid, D.O.
• Claire Sterling Cinder, DMD
• Elizabeth Cipcic
• Kassandra Denise Ciprion
• Tyler Cizek, OTR
• Anne Varner Clancy, DPT

• Occupational Therapist in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.