Michelle Beth Obbink, OTR,CHT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

1653-026 Issued in WI

Practice address

151 Lake CT
Cedar Grove, WI 53013-1670

Phone

(920) 668-8854

NPI assigned

Feb 2, 2007

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

Enrolled in WI

Enrollment records 1

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.

• Froedtert Manitowoc Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Manitowoc, WI
  • NPI 1437829975
  Medicare reassignment
• Countryside Therapy Service LLC

  • Physical Medicine & Rehabilitation Physician
  • Waldo, WI
  • NPI 1336391127
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386782134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 LAKE CT",
            "city": "CEDAR GROVE",
            "state": "WI",
            "postal_code": "530131670",
            "telephone_number": "920-668-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 LAKE CT",
            "city": "CEDAR GROVE",
            "state": "WI",
            "postal_code": "530131670",
            "telephone_number": "920-668-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBBINK",
        "first_name": "MICHELLE",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "OTR,CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "WI",
            "license": "1653-026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Jon Duenk, DDS
• Kristina Gabrielse
• Regan Haversack
• Adyson Leonard
• Eric William May
• Ann Roubal, S.L.P.
• Karissa Rowe, RN
• John P Schmitt, D.C.
• Victoria Lynn Schneider, RN
• Allison E Soerens, APNP

• Hand Occupational Therapist in Cedar Grove, WI
• Providers in Cedar Grove, WI by specialty
• Hand Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.