Sonja Mariana Michello, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA0000001343 Issued in TN

Practice address

1927 Memorial Blvd
Murfreesboro, TN 37129

Phone

(615) 904-9111

Fax

(615) 867-5223

NPI assigned

Apr 30, 2007

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

Other names 1

• Ms. Sonja Mariana Brown Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1609096726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 KENSINGTON DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371275966",
            "telephone_number": "615-497-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 MEMORIAL BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37129",
            "telephone_number": "615-904-9111",
            "fax_number": "615-867-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELLO",
        "first_name": "SONJA",
        "middle_name": "MARIANA",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-30",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "OTA0000001343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONJA",
            "last_name": "BROWN",
            "middle_name": "MARIANA",
            "prefix": "MS.",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patrick Joseph Michaels, PH.D.
• Richard D Michaelson, M.D.
• Christina Micheal
• Sherry Maebethrine Michel, CCC SLP
• Michelle Fowler LLC
• Mid South Psychiatric Associates
• Mid State Endo Uap, LLC
• Mid- TN Therapeutic Clinic
• Mid-State Endoscopy Center LLC
• Mid-State Endoscopy Center LLC (Anesthesia Services of MState)

• Occupational Therapy Assistant in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Occupational Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.