Michelle Tibbs, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

329946 Issued in OR

Practice address

650 NW Sonora Dr
Bend, OR 97703-1190

Phone

(541) 389-7499

NPI assigned

Nov 4, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1477005676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK ST",
            "city": "CISNE",
            "state": "IL",
            "postal_code": "628239437",
            "telephone_number": "615-487-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 NW SONORA DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031190",
            "telephone_number": "541-389-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBBS",
        "first_name": "MICHELLE",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "329946",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "4807",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thrifty Payless Inc
• Thrive Bend Inc.
• Thrive Central Oregon
• Thrive Life Well Therapy
• Thrive Through Play LLC
• Caroline Gentry Tien, LCSW, MSW
• Raymond Tien, M.D.
• Rosalie Tierney, RD
• Fredric Tietz, MD
• Natasha M Tiffany, M.D.

• Occupational Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.