Laura Jane Patchel, OTL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201001504 Issued in MI

Practice address

1411 3Rd St Ste C
Port Huron, MI 48060-5480

Phone

(810) 488-8380

Fax

(810) 985-5543

NPI assigned

Dec 19, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546128000000",
    "number": "1720550403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 ROSEWOOD DR",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480401140",
            "telephone_number": "810-364-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 3RD ST STE C",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480605480",
            "telephone_number": "810-488-8380",
            "fax_number": "810-985-5543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Electric Ave",
            "address_purpose": "LOCATION",
            "city": "Port Huron",
            "state": "MI",
            "postal_code": "480606587",
            "country_code": "US",
            "telephone_number": "810-216-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATCHEL",
        "first_name": "LAURA",
        "middle_name": "JANE",
        "credential": "OTL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201001504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609989805",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306227764",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Partipilo, MA, LLPC
• Edgar Neil Pasia, D.O.
• Sarah Jo Pasia, DO
• Amanda Patana, P.T.
• Kristen Patchel, LPC
• Anil R Patel, MD
• Hasmukh G Patel, M.D.
• Krupa Patel, D.M.D.
• Patient Centered Eye Care LLC
• Marc R Patyi, SOCIAL WORKER

• Occupational Therapist in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2018; 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.