Individual provider Active NPI

Michelle McDowell

  • Occupational Therapy Assistant
  • Fort Lauderdale, FL
National Provider Identifier
1508295114
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
4917-27 Issued in WI
Practice address
1000 Corporate Dr
Suite 280
Fort Lauderdale, FL 33334-3634
Phone
(954) 636-2525
NPI assigned
Nov 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 4917-27 WI Primary
Occupational Therapy Assistant 224Z00000X 057003625 IL
Occupational Therapy Assistant 224Z00000X 000921 IA
Occupational Therapy Assistant 224Z00000X 2407 CA
Occupational Therapy Assistant 224Z00000X 212361 TX
Occupational Therapy Assistant 224Z00000X 5622 AZ

Addresses

Primary practice location

1000 Corporate Dr
Suite 280
Fort Lauderdale, FL 33334-3634

Mailing address

5445 Patriot Dr
Madison, WI 53718-2200
Phone (608) 843-3457

Other names 1

  • Michelle M Helley, Duffy Former name

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

LicenseStateTypeSpecialty
2407CAMDMarriage & Family Therapist
057003625ILMDOccupational Therapy Assistant
212361TXMDOccupational Therapy Assistant
4917-27WIMDOccupational Therapy Assistant
000921IAMDHearing Instrument Specialist
5622AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centra Healthcare 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": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1508295114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 PATRIOT DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537182200",
            "telephone_number": "608-843-3457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CORPORATE DR",
            "address_2": "SUITE 280",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333343634",
            "telephone_number": "954-636-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOWELL",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "4917-27",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057003625",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IA",
            "license": "000921",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "2407",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "212361",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "5622",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "HELLEY, DUFFY",
            "middle_name": "M",
            "credential": "NONE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.