Individual provider Active NPI

Michelle Elizabeth Polec, OTRL

  • Occupational Therapist
  • Detroit, MI
National Provider Identifier
1508337395
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201010184 Issued in MI
Practice address
825 Webb St
Detroit, MI 48202-1024
Phone
(586) 431-0141
NPI assigned
Dec 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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 5201010184 MI Primary

Addresses

Primary practice location

825 Webb St
Detroit, MI 48202-1024

Mailing address

825 Webb St
Detroit, MI 48202-1024
Phone (586) 431-0141

Other practice location 1

1663 Stephenson Hwy
Troy, MI 48083-2169
Phone (248) 327-6619

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201010184MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Therapy Solutions, LLC Current Accepting new patients
Professional Therapy Solutions, LLC Current Accepting new patients

Locations

1663 Stephenson Hwy
Troy, MI 48083
Phone (248) 282-6338

Interoperability endpoints

  • Direct secure messaging: mpolec449922@direct.hfhs.org

Organizations & group practices 2

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": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1508337395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 WEBB ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021024",
            "telephone_number": "586-431-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 WEBB ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021024",
            "telephone_number": "586-431-0141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1663 Stephenson Hwy",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480832169",
            "country_code": "US",
            "telephone_number": "248-327-6619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLEC",
        "first_name": "MICHELLE",
        "middle_name": "ELIZABETH",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201010184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.