Individual provider Active NPI

Michelle Lee Anderson, OTR/L

  • Occupational Therapist
  • McVeytown, PA
National Provider Identifier
1437256823
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC008051 Issued in PA
Practice address
2109 US Hwy 522 S
McVeytown, PA 17051
Phone
(814) 542-8630
Fax
(814) 542-4970
NPI assigned
Sep 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 OC008051 PA Primary

Addresses

Primary practice location

2109 US Hwy 522 S
McVeytown, PA 17051

Mailing address

2206 Wooded Way
Huntingdon, PA 16652
Phone (814) 542-8630

Other identifiers 2

IdentifierTypeStateIssuer
257905OtherPAHEALTH AMERICA
50039315OtherPACAPITAL BLUE CROSS

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
OC008051PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Meadowview Manor Rehabilitation Services, Inc. Occupational Therapist Past 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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437256823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 WOODED WAY",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "16652",
            "telephone_number": "814-542-8630",
            "fax_number": "814-542-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 US HWY 522 S",
            "city": "MCVEYTOWN",
            "state": "PA",
            "postal_code": "17051",
            "telephone_number": "814-542-8630",
            "fax_number": "814-542-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC008051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "257905",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50039315",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McVeytown, PA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.