Active NPI
Michelle Earley
- Developmental Therapist
- Oswego, IL
National Provider Identifier
1407027857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 790 Apollo LN
Oswego, IL 60543-4049 - Phone
- (163) 055-1133
- NPI assigned
- Mar 13, 2008
- Last updated
- Mar 13, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | NU | Primary |
Addresses
Primary practice location
790 Apollo LN
Oswego, IL 60543-4049
Mailing address
790 Apollo LN
Oswego, IL 60543-4049
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205366400000",
"number": "1407027857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 APOLLO LN",
"city": "OSWEGO",
"state": "IL",
"postal_code": "605434049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 APOLLO LN",
"city": "OSWEGO",
"state": "IL",
"postal_code": "605434049",
"telephone_number": "163-055-1133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARLEY",
"first_name": "MICHELLE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-13",
"last_updated": "2008-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oswego, IL
- Diamond Noelani Dudoit
- Kristen Elizabeth Duerdoth, LCSW
- Alexis Patricia Dunne, MD
- Hoangnghi Chau Duong, DMD
- Dupage Health and Wellness Centers, LTD
- Nicole Eberle-Smith
- Ecs Health Care Agency and Home Health Services P.C.
- Edward Health Ventures
- Edward Health Ventures
- Edward Hospital Imaging Center Oswego
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.