Active NPI
Michelle Lewis, MSOTR/L
- Occupational Therapist
- Dallas, PA
National Provider Identifier
1750688974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC006000L
- Practice address
- 55 W Center Hill Rd
Dallas, PA 18612-1069 - Phone
- (570) 675-8600
- NPI assigned
- Feb 24, 2011
- Last updated
- Feb 24, 2011
- 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 | OC006000L | PA | Primary |
Addresses
Primary practice location
55 W Center Hill Rd
Dallas, PA 18612-1069
Mailing address
55 W Center Hill Rd
Dallas, PA 18612-1069
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 |
|---|---|---|---|
| OC006000L | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ecumenical Enterprises Inc | Past | Accepting new patients | |
| William H Boyle, MD PC | Past | Accepting new patients |
Organizations & group practices 2
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.
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- NPI 1760504617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298505600000",
"number": "1750688974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 W CENTER HILL RD",
"city": "DALLAS",
"state": "PA",
"postal_code": "186121069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 W CENTER HILL RD",
"city": "DALLAS",
"state": "PA",
"postal_code": "186121069",
"telephone_number": "570-675-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "MICHELLE",
"credential": "MSOTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-24",
"last_updated": "2011-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC006000L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.