Individual provider Active NPI

Michele Dawn Pearson, OT

  • Occupational Therapist
  • Hobbs, NM
National Provider Identifier
1508221599
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3459 Issued in NM
Practice address
5419 N Lovington Hwy
Hobbs, NM 88240-9100
Phone
(575) 492-5000
NPI assigned
Dec 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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 3459 NM Primary

Addresses

Primary practice location

5419 N Lovington Hwy
Hobbs, NM 88240-9100

Mailing address

54 River Grove
Box 395
Sanford, MANITOBA R0G 2J0
CA
Phone (204) 479-0959

Other names 1

  • Michele Gibb Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210924002944 NV Practitioner - Occupational Therapist in Private Practice 7911304456 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tiltons Therapy IncGroup PAC ID 7719219948, 9 clinicians

Practice addresses (Care Compare)

11091 Kilkerran CT
Las Vegas, NV 89141-4356
Phone (702) 381-1839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3459NMMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tiltons Therapy Inc Occupational Therapist CurrentSince Sep 7, 2023 Accepting new patients
Orthopaedic and Neurological Rehab Inc CurrentSince Jun 15, 2021 Accepting new patients
Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc CurrentSince Jun 15, 2021 Accepting new patients
Debbie Tilton Otrl Inc Occupational Therapist Past Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

1525 Wigwam Pkwy
Henderson, NV 89074
Phone (702) 904-9943

2620 Robindale Rd
Henderson, NV 89074
Phone (702) 992-0000

5255 Kietzke Ln
Reno, NV 89511

8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252

Organizations & group practices 4

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": "1450396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1508221599",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "54 RIVER GROVE",
            "address_2": "BOX 395",
            "city": "SANFORD",
            "state": "MANITOBA",
            "postal_code": "R0G 2J0",
            "telephone_number": "204-479-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 N LOVINGTON HWY",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882409100",
            "telephone_number": "575-492-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "MICHELE",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "3459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "GIBB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hobbs, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.