Michelle Catherine Mackay

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

15109 Issued in NC

Practice address

58 Physicians Dr NW Ste 106
Supply, NC 28462-4216

Phone

(910) 755-5437

Fax

(910) 755-6076

NPI assigned

Nov 11, 2022

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

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.

• Creative Hands Occupational Therapy

  • Pediatric Occupational Therapist
  • Supply, NC
  • NPI 1235188780
  NPD (past)

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1659089258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 PHYSICIANS DR NW STE 106",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624216",
            "telephone_number": "910-755-5437",
            "fax_number": "910-755-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 PHYSICIANS DR NW STE 106",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624216",
            "telephone_number": "910-755-5437",
            "fax_number": "910-755-6076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 Magnolia Village Way # 130",
            "address_purpose": "LOCATION",
            "city": "Leland",
            "state": "NC",
            "postal_code": "284519464",
            "country_code": "US",
            "telephone_number": "910-755-5437",
            "fax_number": "910-755-6076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3317 Masonboro Loop Rd Unit 150",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284092970",
            "country_code": "US",
            "telephone_number": "910-755-5437",
            "fax_number": "910-755-6076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "624 US Highway 17 S Unit 5",
            "address_purpose": "LOCATION",
            "city": "Holly Ridge",
            "state": "NC",
            "postal_code": "284458662",
            "country_code": "US",
            "telephone_number": "910-329-4444",
            "fax_number": "910-329-4445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16717 US Highway 17 Ste 204",
            "address_purpose": "LOCATION",
            "city": "Hampstead",
            "state": "NC",
            "postal_code": "284433088",
            "country_code": "US",
            "telephone_number": "910-755-5437",
            "fax_number": "910-755-6076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKAY",
        "first_name": "MICHELLE",
        "middle_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "15109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life, Inc. (Life, Inc./Folly Street Group Home)
• Life, Inc. (Life, Inc./Lockwood Street Group Home)
• Autumn Jean Littlebrant, LCSW
• Mark Anthony Lizak, MD
• Daniel B. Maccallum, MD
• Deanna England Maclaren, FNPC
• Amber Mae Marchio, AGNP-C
• Anthony R Markham, P.T.
• Rebecca Marksberry, OTRL
• Millicent Frances Martin, AUD

• Occupational Therapist in Supply, NC
• Providers in Supply, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.