Individual provider Active NPI

Michelle Williams, OTR/L

  • Occupational Therapist
  • New Hyde Park, NY
National Provider Identifier
1528437787
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
019028 Issued in NY
Practice address
1999 Marcus Ave Ste M15
New Hyde Park, NY 11042-1023
Phone
(516) 488-8808
Fax
(516) 488-8818
NPI assigned
Sep 17, 2015
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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 019028 NY Primary

Addresses

Primary practice location

1999 Marcus Ave Ste M15
New Hyde Park, NY 11042-1023

Mailing address

135 Taylor Ave
East Meadow, NY 11554-3438
Phone (516) 476-9858

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200904000728 NY Practitioner - Occupational Therapist in Private Practice 3476970419 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1999 Marcus Ave
Suite M15
New Hyde Park, NY 11042-1023
Phone (516) 488-8808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019028NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Body Balance Occupational Therapy, PLLC Occupational Therapist CurrentSince Nov 1, 2020 Accepting new patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Occupational Therapist CurrentSince Aug 3, 2020 Accepting new patients

Locations

616 Bedford Ave
Bellmore, NY 11710
Phone (516) 586-5533

800 E Gate Blvd
Garden City, NY 11530

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

1999 Marcus Ave
Ste M15
North New Hyde Park, NY 11042
Phone (516) 488-8808

11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1528437787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 TAYLOR AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115543438",
            "telephone_number": "516-476-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 MARCUS AVE STE M15",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421023",
            "telephone_number": "516-488-8808",
            "fax_number": "516-488-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICHELLE",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "019028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.