Individual provider Active NPI

Michele John Ferrelli, M.S. OTR/L

  • Occupational Therapist
  • Pinehurst, NC
National Provider Identifier
1508094376
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6933 Issued in NC
Practice address
205 Rattlesnake TRL
Pinehurst, NC 28374-7639
Phone
(910) 295-1781
NPI assigned
Jun 30, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6933 NC Primary

Addresses

Primary practice location

205 Rattlesnake TRL
Pinehurst, NC 28374-7639

Mailing address

6 Loblolly CT
Pinehurst, NC 28374-9349
Phone (781) 507-1163

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6933NCMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246320000000",
    "number": "1508094376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LOBLOLLY CT",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749349",
            "telephone_number": "781-507-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 RATTLESNAKE TRL",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283747639",
            "telephone_number": "910-295-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRELLI",
        "first_name": "MICHELE",
        "middle_name": "JOHN",
        "credential": "M.S. OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "6933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.