Active NPI
Michele Marie Seifert, OT
- Occupational Therapist
- Shoreview, MN
National Provider Identifier
1548386808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 101436
- Practice address
- 490 Highway 96 W
Suite 300
Shoreview, MN 55126-1960 - Phone
- (651) 451-3016
- NPI assigned
- Mar 21, 2007
- Last updated
- Jul 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 101436 | MN | Primary |
Addresses
Primary practice location
490 Highway 96 W
Suite 300
Shoreview, MN 55126-1960
Mailing address
2775 County Road F E
White Bear Lake, MN 55110-3914
Phone (651) 429-5629
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 |
|---|---|---|---|
| 101436 | MN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548386808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2775 COUNTY ROAD F E",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551103914",
"telephone_number": "651-429-5629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 HIGHWAY 96 W",
"address_2": "SUITE 300",
"city": "SHOREVIEW",
"state": "MN",
"postal_code": "551261960",
"telephone_number": "651-451-3016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIFERT",
"first_name": "MICHELE",
"middle_name": "MARIE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "101436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shoreview, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.