Active NPI
Michelle Tims, OTR/L
- Occupational Therapist
- Overland Park, KS
National Provider Identifier
1538375407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3904
- Practice address
- 9101 158TH St
Overland Park, KS 66221 - Phone
- (918) 361-2595
- NPI assigned
- May 15, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 9393 | CA | |
| Occupational Therapist | 225X00000X | 06024 | MD | |
| Occupational Therapist | 225X00000X | |||
| Occupational Therapist | 225X00000X | 3904 | AZ | Primary |
Addresses
Primary practice location
9101 158TH St
Overland Park, KS 66221
Mailing address
9101 158TH St
Overland Park, KS 66221-7585
Other practice location 1
8115 E Indian Bend Rd Ste 123
Scottsdale, AZ 85250-4819
Phone (480) 951-6451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538375407 | Medicaid | AZ |
Other names 1
- Michelle Artz
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3904 | AZ | MD | Psychologist |
| 06024 | MD | MD | Clinical Psychologist |
| 9393 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Medicine and Rehabilitation of Texas, Inc. | 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.
-
- Multi-Specialty Clinic/Center
- Dallas, TX
- NPI 1255576369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536105600000",
"number": "1538375407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9101 158TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662217585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9101 158TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66221",
"telephone_number": "918-361-2595"
}
],
"practiceLocations": [
{
"address_1": "8115 E Indian Bend Rd Ste 123",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852504819",
"country_code": "US",
"telephone_number": "480-951-6451",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIMS",
"first_name": "MICHELLE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2018-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "9393",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "06024",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "3904",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1538375407",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "ARTZ",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.