Active NPI
Michelle Lee Murray, OTR
- Pediatric Occupational Therapist
- Fort Collins, CO
National Provider Identifier
1477676419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Practice address
- 1214 Oak Park Dr
Fort Collins, CO 80525-7302 - Phone
- (970) 226-6225
- Fax
- (970) 226-6675
- NPI assigned
- Apr 6, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | Primary |
Addresses
Primary practice location
1214 Oak Park Dr
Fort Collins, CO 80525-7302
Mailing address
2612 Little Bear CT
Fort Collins, CO 80525-6164
Phone (970) 226-6225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20739711 | Medicaid | CO |
Other names 1
- Michelle Lee Petersburg
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John C Murray | Pediatrics | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477676419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2612 LITTLE BEAR CT",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805256164",
"telephone_number": "970-226-6225",
"fax_number": "970-226-6675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 OAK PARK DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805257302",
"telephone_number": "970-226-6225",
"fax_number": "970-226-6675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "MICHELLE",
"middle_name": "LEE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20739711",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "PETERSBURG",
"middle_name": "LEE",
"credential": "OTR",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Collins, CO
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.