Individual provider Active NPI

Brecca Lynn Michaud, OTR/L

  • Occupational Therapist
  • Saint Petersburg, FL
National Provider Identifier
1710099023
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT13671 Issued in FL
Practice address
1951 Bayou Grande Blvd NE
Saint Petersburg, FL 33703-1911
Phone
(727) 300-9471
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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 OT13671 FL Primary
Occupational Therapist 225X00000X OT0633 AR

Addresses

Primary practice location

1951 Bayou Grande Blvd NE
Saint Petersburg, FL 33703-1911

Mailing address

1951 Bayou Grande Blvd NE
Saint Petersburg, FL 33703-1911
Phone (727) 300-9471

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171017002516 FL Practitioner - Occupational Therapist in Private Practice 4082980180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lampert'S Home Therapy IncGroup PAC ID 5597659516, 15 clinicians

Practice addresses (Care Compare)

8254 118TH Ave N
Suite 100
Largo, FL 33773-5027
Phone (727) 541-5304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT0633ARMDOccupational Therapist
OT13671FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lampert'S Home Therapy, Inc. Occupational Therapist CurrentSince Jul 19, 2017 Accepting new patients

Locations

8254 118th Ave
Ste 100
Largo, FL 33773
Phone (727) 451-5304

Organizations & group practices 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1710099023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 BAYOU GRANDE BLVD NE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337031911",
            "telephone_number": "727-300-9471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 BAYOU GRANDE BLVD NE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337031911",
            "telephone_number": "727-300-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAUD",
        "first_name": "BRECCA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT13671",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OT0633",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.