Active NPI
Michelle Ivey
- Occupational Therapist
- Crowley, TX
National Provider Identifier
1750110821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 108779
- Practice address
- 512 Peach St
Crowley, TX 76036-3119 - Phone
- (817) 564-5787
- NPI assigned
- Jul 29, 2024
- 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 | 108779 | TX | Primary |
Addresses
Primary practice location
512 Peach St
Crowley, TX 76036-3119
Mailing address
4624 County Road 919
Crowley, TX 76036-5534
Phone (817) 564-5787
Other names 1
- Catherine Michelle Holcomb
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 |
|---|---|---|---|
| 108779 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1750110821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4624 COUNTY ROAD 919",
"city": "CROWLEY",
"state": "TX",
"postal_code": "760365534",
"telephone_number": "817-564-5787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 PEACH ST",
"city": "CROWLEY",
"state": "TX",
"postal_code": "760363119",
"telephone_number": "817-564-5787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVEY",
"first_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-29",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "108779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CATHERINE MICHELLE",
"last_name": "HOLCOMB",
"credential": "OTR",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Crowley, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.