Michelle Yvonne Warner, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

135121 Issued in AK

Practice address

984 N Meridian PL # a
Wasilla, AK 99654-7215

Phone

(907) 631-4029

NPI assigned

Jul 18, 2018

Last updated

Jul 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Yvonne Christiansen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northern Edge Physical Therapy Limited Partnership

  • Physical Therapist
  • Wasilla, AK
  • NPI 1497538474
  NPD (past)

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1396221826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16820 E HELMAUR PL",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996457555",
            "telephone_number": "907-982-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 N MERIDIAN PL # A",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547215",
            "telephone_number": "907-631-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "MICHELLE",
        "middle_name": "YVONNE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "135121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "CHRISTIANSEN",
            "middle_name": "YVONNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clint Matthew Ward
• Sue Ward
• Kristin Ware, MA
• Brandon Wargi
• Brian Warhol
• Yvonne Warner
• Valerie Ann Warren, PSY.D, LPC, NCC
• Bobbie Lee Washington Jr.
• Wasilla Area Seniors Inc
• Wasilla Area Seniors Inc.

• Occupational Therapist in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Occupational Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.