Individual provider Active NPI

Michelle Denise Pina, OTR/L

  • Occupational Therapist
  • Rochester, MA
National Provider Identifier
1427324706
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
10518 Issued in MA
Practice address
31 Hiller Rd
Rochester, MA 02770-4024
Phone
(774) 454-1994
Fax
(508) 273-2353
NPI assigned
Mar 30, 2012
Last updated
Mar 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 10518 MA Primary

Addresses

Primary practice location

31 Hiller Rd
Rochester, MA 02770-4024

Mailing address

53 Marion Rd Unit 2
Wareham, MA 02571-1406
Phone (774) 454-1994

Other practice location 1

484 Main Street
Worcester, MA 01608
Phone (508) 751-6322

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

State licenses

LicenseStateTypeSpecialty
10518MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway ABA Therapy LLC CurrentSince Mar 12, 2024 Accepting new patients

Organizations & group practices 1

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": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1427324706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 MARION RD UNIT 2",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025711406",
            "telephone_number": "774-454-1994",
            "fax_number": "508-273-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 HILLER RD",
            "city": "ROCHESTER",
            "state": "MA",
            "postal_code": "027704024",
            "telephone_number": "774-454-1994",
            "fax_number": "508-273-2353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "484 Main Street",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "01608",
            "country_code": "US",
            "telephone_number": "508-751-6322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINA",
        "first_name": "MICHELLE",
        "middle_name": "DENISE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "10518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.