Active NPI
Michelle Herklotz
- Occupational Therapist
- College Station, TX
National Provider Identifier
1659523629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 107362
- Practice address
- 800 Scott and White Dr
College Station, TX 77845-6440 - Phone
- (979) 691-3603
- NPI assigned
- Oct 21, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 107362 | TX | Primary |
Addresses
Primary practice location
800 Scott and White Dr
College Station, TX 77845-6440
Mailing address
700 Scott and White Dr
College Station, TX 77845
Phone (979) 691-3603
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mherklotz25279@direct.sw.org | Direct |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107362 | TX | MD | Speech-Language Pathologist |
Interoperability endpoints
- mherklotz25279@direct.sw.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1659523629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 SCOTT AND WHITE DR",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "77845",
"telephone_number": "979-691-3603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 SCOTT AND WHITE DR",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778456440",
"telephone_number": "979-691-3603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERKLOTZ",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-21",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "107362",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mherklotz25279@direct.sw.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "800 Scott and White Dr",
"city": "College Station",
"state": "TX",
"country_code": "US",
"postal_code": "778456440",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.