Individual provider Active NPI

Michelle Nicole Kitchen, OTR

  • Hand Occupational Therapist
  • Hingham, MA
National Provider Identifier
1417281841
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
3491 Issued in MA
Practice address
2 Pond Park Rd Ste 102
Hingham, MA 02043
Phone
(781) 337-5555
Fax
(781) 335-6047
NPI assigned
Oct 2, 2009
Last updated
Feb 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 3491 MA Primary

Addresses

Primary practice location

2 Pond Park Rd Ste 102
Hingham, MA 02043

Mailing address

2 Pond Park Rd Ste 102
Hingham, MA 02043-4354
Phone (781) 337-5555

Other practice location 1

203 Oak St
Natick, MA 01760-1306
Phone (508) 651-0051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100520000670 MA Practitioner - Occupational Therapist in Private Practice 5395874960 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upper Hand Therapy and Training, LLCGroup PAC ID 1658746078, 3 clinicians

Practice addresses (Care Compare)

22 Mill St
Arlington, MA 02476-4744
Phone (781) 643-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3491MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Hand Therapy & Training, LLC Hand CurrentSince Jan 6, 2023 Accepting new patients
Newton Wellesley Orthopedic Associates Inc CurrentSince Oct 1, 2015 Accepting new patients
South Shore Orthopedics, LLC CurrentSince Apr 6, 2016 Accepting new patients
South Shore Orthopedics LLC CurrentSince Apr 6, 2016 Accepting new patients
At Home Physical Therapy Inc CurrentSince Jun 28, 2021 Accepting new patients
Lighthouse Surgical Suites, LLC CurrentSince Oct 1, 2015 Accepting new patients

Locations

22 Mill St
Ste 302
Arlington, MA 02476
Phone (781) 643-7000

2 Pond Park Rd
Ste 102
Hingham, MA 02043
Phone (781) 337-5555

2000 Washington St
Ste 341
Newton Lower Falls, MA 02462
Phone (617) 964-0024

40 Washington St
Ste 130
Wellesley Hills, MA 02481
Phone (617) 738-0857

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1417281841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 POND PARK RD STE 102",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020434354",
            "telephone_number": "781-337-5555",
            "fax_number": "781-335-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 POND PARK RD STE 102",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "02043",
            "telephone_number": "781-337-5555",
            "fax_number": "781-335-6047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Oak St",
            "address_purpose": "LOCATION",
            "city": "Natick",
            "state": "MA",
            "postal_code": "017601306",
            "country_code": "US",
            "telephone_number": "508-651-0051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITCHEN",
        "first_name": "MICHELLE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-02",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MA",
            "license": "3491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.