Michelle Circo, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

312 Issued in NE

Practice address

6062 Grand Lodge Ave
Papillion, NE 68133-3200

Phone

(402) 885-7474

NPI assigned

Jun 20, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1588014641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6062 GRAND LODGE AVE",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "681333200",
            "telephone_number": "402-885-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6062 GRAND LODGE AVE",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "681333200",
            "telephone_number": "402-885-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRCO",
        "first_name": "MICHELLE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NE",
            "license": "312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peggy Christianson
• Trinity Christofferson
• Jordan Carter Chvatal
• Melanie Jeanne Ciecior, PHARM.D. RPH
• Courney L Cieslukowski
• City of Papillion
• Trisha Clark
• Caroline Susan Clausen
• Victoria Clayton
• Jacquelyn Coenen, APRN

• Occupational Therapy Assistant in Papillion, NE
• Providers in Papillion, NE by specialty
• Occupational Therapy Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.