Individual provider Active NPI

Michele H. Durham, O.T.

  • Occupational Therapist
  • Stuart, FL
National Provider Identifier
1619935566
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT5399 Issued in FL
Practice address
1050 SE Monterey Rd Ste 304
Stuart, FL 34994-4512
Phone
(772) 288-2400
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1264 SC
Occupational Therapist 225X00000X OT5399 FL Primary

Addresses

Primary practice location

1050 SE Monterey Rd Ste 304
Stuart, FL 34994-4512

Mailing address

35 International Dr
Greenville, SC 29615-4816
Phone (864) 234-7654

Other practice location 1

35 International Dr
Greenville, SC 29615-4816
Phone (864) 234-7654

Other practice location 2

9401 SW Discovery Way Ste 103
Port St Lucie, FL 34987-2381
Phone (772) 288-2400

Other identifiers 1

IdentifierTypeStateIssuer
8157OtherSCMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250626003925 FL Practitioner - Occupational Therapist in Private Practice 9739102740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1050 SE Monterey Rd
Stuart, FL 34994-4512
Phone (772) 288-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1264SCMDChiropractor
OT5399FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Orthopaedics & Sports Medicine, PA CurrentSince Jun 30, 2025 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince May 21, 2022 Accepting new patients
South Florida Orthopaedics & Sports Medicine, PA CurrentSince Jun 30, 2025 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince May 21, 2022 Accepting new patients
St Francis Physician Services Inc Past Accepting new patients
South Florida Orthopaedics & Sports Medicine,PA Past Accepting new patients
Individualized Physical Therapy, Inc. Past Accepting new patients

Locations

9401 SW Discovery Way
Ste 202
Port St Lucie, FL 34987

9401 SW Discovery Way
Ste 103
Port St Lucie, FL 34987
Phone (772) 345-4192

1050 SE Monterey Rd
Ste 304
Stuart, FL 34994

1050 SE Monterey Rd
Ste 400
Stuart, FL 34994

1050 Grove Rd
Greenville, SC 29605
Phone (864) 242-5020

35 International Dr
Greenville, SC 29615
Phone (864) 242-5020

317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901

Interoperability endpoints

  • Direct secure messaging: michele.durhamot.p1@direct.southflaortho.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1619935566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 INTERNATIONAL DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154816",
            "telephone_number": "864-234-7654",
            "fax_number": "864-675-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SE MONTEREY RD STE 304",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944512",
            "telephone_number": "772-288-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 International Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296154816",
            "country_code": "US",
            "telephone_number": "864-234-7654",
            "fax_number": "864-675-1657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9401 SW Discovery Way Ste 103",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349872381",
            "country_code": "US",
            "telephone_number": "772-288-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "MICHELE",
        "middle_name": "H.",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "1264",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT5399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "8157",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.