Individual provider Active NPI

Michele King, OT

  • Occupational Therapist
  • Oswego, NY
National Provider Identifier
1659304426
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0133558 Issued in NY
Practice address
55 W 2ND St
Oswego, NY 13126-1515
Phone
(315) 212-3676
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0133558 NY Primary

Addresses

Primary practice location

55 W 2ND St
Oswego, NY 13126-1515

Mailing address

3439 County Route 176
Oswego, NY 13126-6633
Phone (518) 281-7874

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070615000101 NY Practitioner - Occupational Therapist in Private Practice 3274632278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adirondack Physical and Occupational Therapy LLCGroup PAC ID 9234129099, 5 clinicians

Practice addresses (Care Compare)

113 Schuyler St
Suite 5
Fulton, NY 13069-1600
Phone (315) 593-1740

127 E 1St St
Oswego, NY 13126-2104
Phone (315) 207-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0133558NYMDOccupational Therapist
013358NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adirondack Physical & Occupational Therapy, LLC Occupational Therapist CurrentSince Oct 1, 2006 Accepting new patients
Adirondack Physical and Occupational Therapy LLC Occupational Therapist CurrentSince Oct 1, 2006 Accepting new patients

Locations

55 W 2nd St
Oswego, NY 13126
Phone (315) 212-3676

127 E 1st St
Oswego, NY 13126
Phone (315) 207-2222

Organizations & group practices 2

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1659304426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3439 COUNTY ROUTE 176",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131266633",
            "telephone_number": "518-281-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 W 2ND ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131261515",
            "telephone_number": "315-212-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MICHELE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "0133558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.