Active NPI
Michelle Lener Timmons, OTR/L, LMBT
- Occupational Therapist
- Charlotte, NC
National Provider Identifier
1487833604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4810
- Practice address
- 9404 Brighthaven LN
Charlotte, NC 28214-1011 - Phone
- (704) 796-0082
- NPI assigned
- Oct 25, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 4905 | NC | |
| Occupational Therapist | 225X00000X | 4810 | NC | Primary |
Addresses
Primary practice location
9404 Brighthaven LN
Charlotte, NC 28214-1011
Mailing address
9404 Brighthaven LN
Charlotte, NC 28214-1011
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4905 | NC | MD | Professional Counselor |
| 4810 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193270400000",
"number": "1487833604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9404 BRIGHTHAVEN LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282141011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9404 BRIGHTHAVEN LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282141011",
"telephone_number": "704-796-0082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMMONS",
"first_name": "MICHELLE",
"middle_name": "LENER",
"credential": "OTR/L, LMBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-25",
"last_updated": "2007-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "4905",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "4810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.