Active NPI
Michelle Angela Urbina
- Occupational Therapist
- Paramus, NJ
National Provider Identifier
1710455969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 18389
- Practice address
- 140 N Rte 17 Ste 101
Paramus, NJ 07652-2818 - Phone
- (201) 261-4343
- NPI assigned
- Nov 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 18389 | CA | Primary |
Addresses
Primary practice location
140 N Rte 17 Ste 101
Paramus, NJ 07652-2818
Mailing address
3091 Edwin Ave Apt 4E
Fort Lee, NJ 07024-4822
Phone (201) 956-3020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13505 SE River Rd
Portland, OR 97222-8038
Phone (503) 347-2472
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independence Rehab, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
13505 SE River Rd
Portland, OR 97222
Phone (503) 347-2472
5314 N River Run Dr
Ste 140
Provo, UT 84604
Phone (801) 471-2449
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": "1541462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541462400000",
"number": "1710455969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3091 EDWIN AVE APT 4E",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070244822",
"telephone_number": "201-956-3020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 N RTE 17 STE 101",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076522818",
"telephone_number": "201-261-4343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URBINA",
"first_name": "MICHELLE",
"middle_name": "ANGELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-06",
"last_updated": "2018-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "18389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.