Michelle Kraft Medeiros, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

16183 Issued in FL

Practice address

2530 Ridgetop Way
Valrico, FL 33594-4223

Phone

(813) 684-9985

NPI assigned

Oct 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• True Blue Therapy LLC

  • Occupational Therapist
  • Valrico, FL
  • NPI 1952443277
  NPD (past)

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508457600000",
    "number": "1760993489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 W KENNEDY BLVD UNIT 538",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092446",
            "telephone_number": "603-264-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 RIDGETOP WAY",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335944223",
            "telephone_number": "813-684-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDEIROS",
        "first_name": "MICHELLE",
        "middle_name": "KRAFT",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-20",
        "last_updated": "2017-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "16183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mircheny McCoy
• Tina Marie McDonald, PTA
• Michele McMillan, PT
• Susan McMillan, M.S.,C.C.C.
• Christopher McNeill, M.D.
• Yosanna Melendez
• Luz Ivonne Mercado, OTR/L
• Nancy Messina, RPH
• MGR Technologies, Inc
• MGR Technologies, Inc

• Occupational Therapy Assistant in Valrico, FL
• Providers in Valrico, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; 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.