Individual provider Active NPI

Michelle Laforme, OTR-L

  • Occupational Therapist
  • Bonita Springs, FL
National Provider Identifier
1699585539
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT11314 Issued in FL
Practice address
25241 Elementary Way Ste 200
Bonita Springs, FL 34135-7883
Phone
(239) 947-4184
Fax
(239) 947-4171
NPI assigned
Jan 13, 2025
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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 OT11314 FL Primary

Addresses

Primary practice location

25241 Elementary Way Ste 200
Bonita Springs, FL 34135-7883

Mailing address

25241 Elementary Way Ste 200
Bonita Springs, FL 34135-7883
Phone (239) 947-4184

Other names 1

  • Michelle Halbisen Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT11314FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fyzbiz, LLC CurrentSince Jan 19, 2025 Accepting new patients
Douglass Orthopedic & Spine Rehabilitation, Inc. CurrentSince Jan 19, 2025 Accepting new patients

Locations

25241 Elementary Way
Ste 200
Bonita Springs, FL 34135
Phone (239) 947-4184

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1699585539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25241 ELEMENTARY WAY STE 200",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357883",
            "telephone_number": "239-947-4184",
            "fax_number": "239-947-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25241 ELEMENTARY WAY STE 200",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357883",
            "telephone_number": "239-947-4184",
            "fax_number": "239-947-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFORME",
        "first_name": "MICHELLE",
        "credential": "OTR-L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT11314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "HALBISEN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.