Michelle A Cordray, MOT, OTR/L, CLT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1433 Issued in NE

Practice address

207 S Burlington Ave
Hastings, NE 68901-5905

Phone

(402) 462-8824

Fax

(402) 462-8017

NPI assigned

Sep 13, 2010

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

Other names 1

• Michelle A King Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1770890709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 W 7TH ST",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014212",
            "telephone_number": "303-990-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S BURLINGTON AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015905",
            "telephone_number": "402-462-8824",
            "fax_number": "402-462-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDRAY",
        "first_name": "MICHELLE",
        "middle_name": "A",
        "credential": "MOT, OTR/L, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "1433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "KING",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Therapist in Hastings, NE
• Providers in Hastings, NE by specialty
• Occupational Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.