Michelle Meert

Individual provider Active NPI Occupational Therapist · Rathdrum, ID

NPI 1497578835 · NPPES record last updated Nov 4, 2024

Key facts

NPI
1497578835
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
Practice address
8052 W Main St Unit 202
Rathdrum, ID 83858-4915
Phone
(208) 503-6173
NPI assigned
Nov 4, 2024
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Villa Pediatric Therapy LLC Past
since Nov 10, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Yes

Addresses

Primary practice location

8052 W Main St Unit 202
Rathdrum, ID 83858-4915

Mailing address

8052 W Main St Unit 202
Rathdrum, ID 83858-4915

Other providers in Rathdrum, ID

All providers in Rathdrum, ID · Occupational Therapist in Idaho

Sources for this page

Verify at the official NPI Registry.