Active NPI
Michelle Thomas, O.T.
- Occupational Therapist
- Palm Coast, FL
National Provider Identifier
1750623864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119004539
- Practice address
- 25 Pine Cone Dr Ste 4
Palm Coast, FL 32164-8424 - Phone
- (800) 796-0923
- NPI assigned
- Mar 27, 2013
- 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 | 0119004539 | VA | Primary |
Addresses
Primary practice location
25 Pine Cone Dr Ste 4
Palm Coast, FL 32164-8424
Mailing address
716 Leesville Rd Apt 704
Lynchburg, VA 24502-3839
Phone (800) 796-0923
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0119004539 | VA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abi Arbor | Past | Accepting new patients |
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, 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": "1364342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364342400000",
"number": "1750623864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 LEESVILLE RD APT 704",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245023839",
"telephone_number": "800-796-0923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 PINE CONE DR STE 4",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321648424",
"telephone_number": "800-796-0923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "MICHELLE",
"credential": "O.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-27",
"last_updated": "2013-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119004539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.