Individual provider Active NPI

Michelle Catherine Pelletier, MS, OTR/L

  • Occupational Therapist
  • North Billerica, MA
National Provider Identifier
1609478973
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3086 Issued in NH
Practice address
78 Boston Rd
North Billerica, MA 01862-1034
Phone
(978) 667-5123
NPI assigned
Nov 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 3885 MA
Occupational Therapist 225X00000X 13750 MA
Occupational Therapist 225X00000X 3086 NH Primary

Addresses

Primary practice location

78 Boston Rd
North Billerica, MA 01862-1034

Mailing address

7 Garden St Unit 1
Newburyport, MA 01950-2704
Phone (978) 270-4360

Other practice location 1

70 Butler St
Salem, NH 03079-3974
Phone (603) 893-2900

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3885MAMDPhysical Therapist
13750MAMDOccupational Therapist
3086NHMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1609478973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GARDEN ST UNIT 1",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502704",
            "telephone_number": "978-270-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 BOSTON RD",
            "city": "NORTH BILLERICA",
            "state": "MA",
            "postal_code": "018621034",
            "telephone_number": "978-667-5123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Butler St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NH",
            "postal_code": "030793974",
            "country_code": "US",
            "telephone_number": "603-893-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "MICHELLE",
        "middle_name": "CATHERINE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MA",
            "license": "3885",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "13750",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "3086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Billerica, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.