Individual provider Active NPI

Maria Michael, OTRL

  • Occupational Therapist
  • Foley, AL
National Provider Identifier
1598828519
Registry record updated Mar 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0828 Issued in AL
Practice address
21040 Miflin Rd Ste 2
Foley, AL 36535
Phone
(251) 978-1280
NPI assigned
Dec 19, 2006
Last updated
Mar 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2019

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 0828 AL Primary

Addresses

Primary practice location

21040 Miflin Rd Ste 2
Foley, AL 36535

Mailing address

804 Wisteria LN
Foley, AL 36535-2506
Phone (251) 978-1280

Other practice location 1

1711 N McKenzie St
Foley, AL 36535-2249
Phone (251) 949-3846

Other identifiers 3

IdentifierTypeStateIssuer
1003819608OtherALGROUP NPI
529917620MedicaidAL
51099356OtherALBCBS PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170111000474 AL Practitioner - Physical Therapist in Private Practice 4183905888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

316 S McKenzie St
Suite 101
Foley, AL 36535-1980
Phone (251) 978-1280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foley Therapy LLC Occupational Therapist CurrentSince Sep 11, 2018 Accepting new patients
Encore Rehabilitation Inc Past Accepting new patients
Foley Therapy LLC Occupational Therapist Past Accepting new patients
Foley Therapy LLC Occupational Therapist Past Accepting new patients
Encore Rehabilitation Inc Past Accepting new patients
Encore Rehabilitation Inc Past Accepting new patients
Foley Therapy LLC Occupational Therapist Past Accepting new patients

Locations

21040 Miflin Rd
Ste 2
Foley, AL 36535
Phone (251) 978-1280

316 S McKenzie St
Ste 101
Foley, AL 36535
Phone (251) 610-8000

Organizations & group practices 7

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553385600000",
    "number": "1598828519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 WISTERIA LN",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352506",
            "telephone_number": "251-978-1280",
            "fax_number": "251-970-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21040 MIFLIN RD STE 2",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "36535",
            "telephone_number": "251-978-1280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1711 N McKenzie St",
            "address_purpose": "LOCATION",
            "city": "Foley",
            "state": "AL",
            "postal_code": "365352249",
            "country_code": "US",
            "telephone_number": "251-949-3846",
            "fax_number": "251-929-4741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "MARIA",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2019-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "0828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1003819608",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529917620",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "51099356",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2019; 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.