Michaela Brooke Hartline, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201013246 Issued in MI

Practice address

905 N Front St
Niles, MI 49120-1677

Phone

(269) 683-6800

NPI assigned

Feb 21, 2023

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lakeland Hospital at Niles and St Joseph, Inc

  • Rehabilitation Hospital Unit
  • Saint Joseph, MI
  • NPI 1760589956
  NPD (past)
• Lakeland Hospitals at Niles and St Joseph, Inc

  • Community Health Clinic/Center
  • Saint Joseph, MI
  • NPI 1184513731
  NPD (past)

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679788800000",
    "number": "1609574367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70903 CARTER AVE",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491207634",
            "telephone_number": "269-362-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N FRONT ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491201677",
            "telephone_number": "269-683-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLINE",
        "first_name": "MICHAELA",
        "middle_name": "BROOKE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-03-26",
        "certification_date": "2023-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201013246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Lee Hanstra, MS, CCC-SLP
• Cullen Hardy, PSYD
• Sangeetha Harikrishnan
• Reid Harmacinski
• Jadyn Harman
• Kimberly Anne Hartsell, MS, CCC-SLP, CBIS
• Robin Arnelle Harvell, COUNSELOR
• Christopher J Harvey, MD
• Healing and Restoring PLLC
• Healthzone Chiropractic II

• Occupational Therapist in Niles, MI
• Providers in Niles, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2023; 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.