Active NPI
Michele L Burke, OT
- Occupational Therapist
- Bronxville, NY
National Provider Identifier
1477525293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 005936
- Practice address
- 55 Palmer Ave
Bronxville, NY 10708-3403 - Phone
- (914) 787-3370
- NPI assigned
- Feb 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 001772 | CT | |
| Occupational Therapist | 225X00000X | 005936 | NY | Primary |
Addresses
Primary practice location
55 Palmer Ave
Bronxville, NY 10708-3403
Mailing address
48 Noyes Rd
Fairfield, CT 06824-3843
Phone (203) 292-5961
Other names 1
- Michele L Carpentier
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001772 | CT | MD | Mental Health Counselor |
| 005936 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic & Neurosurgery Specialists, PLLC | 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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Greenwich, CT
- NPI 1033318720
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576972800000",
"number": "1477525293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 NOYES RD",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068243843",
"telephone_number": "203-292-5961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 PALMER AVE",
"city": "BRONXVILLE",
"state": "NY",
"postal_code": "107083403",
"telephone_number": "914-787-3370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "MICHELE",
"middle_name": "L",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-06",
"last_updated": "2019-12-22",
"certification_date": "2019-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "001772",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "005936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELE",
"last_name": "CARPENTIER",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bronxville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.