Active NPI
Casey Susan Michalowski
- Occupational Therapist
- Springfield, MA
National Provider Identifier
1508436775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 14076
- Practice address
- 200 Kendall St
Springfield, MA 01104-2597 - Phone
- (413) 737-4756
- NPI assigned
- Jun 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 14076 | MA | Primary |
Addresses
Primary practice location
200 Kendall St
Springfield, MA 01104-2597
Mailing address
17 Graves St
South Deerfield, MA 01373-1111
Phone (413) 824-2767
Other practice location 1
66 Broad St
Westfield, MA 01085-2975
Phone (413) 562-5464
Other practice location 2
11 Saint Anthony St
Chicopee, MA 01013-2141
Phone (413) 315-4205
Other practice location 3
546 Chicopee St
Chicopee, MA 01013-2148
Phone (413) 536-2540
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14076 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626307200000",
"number": "1508436775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 GRAVES ST",
"city": "SOUTH DEERFIELD",
"state": "MA",
"postal_code": "013731111",
"telephone_number": "413-824-2767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 KENDALL ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011042597",
"telephone_number": "413-737-4756"
}
],
"practiceLocations": [
{
"address_1": "66 Broad St",
"address_purpose": "LOCATION",
"city": "Westfield",
"state": "MA",
"postal_code": "010852975",
"country_code": "US",
"telephone_number": "413-562-5464",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11 Saint Anthony St",
"address_purpose": "LOCATION",
"city": "Chicopee",
"state": "MA",
"postal_code": "010132141",
"country_code": "US",
"telephone_number": "413-315-4205",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "546 Chicopee St",
"address_purpose": "LOCATION",
"city": "Chicopee",
"state": "MA",
"postal_code": "010132148",
"country_code": "US",
"telephone_number": "413-536-2540",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MICHALOWSKI",
"first_name": "CASEY",
"middle_name": "SUSAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-29",
"last_updated": "2021-07-15",
"certification_date": "2021-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "14076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.