Individual provider Active NPI

Michael Giasolli, OTR, RRT

  • Pediatric Occupational Therapist
  • Sherman, TX
National Provider Identifier
1780107664
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
105149 Issued in TX
Practice address
8001 S US Highway 75
Sherman, TX 75090-5707
Phone
(903) 532-1400
NPI assigned
Jul 21, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 105149 TX Primary

Addresses

Primary practice location

8001 S US Highway 75
Sherman, TX 75090-5707

Mailing address

850 Fox Ridge TRL
Prosper, TX 75078-7937
Phone (469) 481-6056

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

LicenseStateTypeSpecialty
105149TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aoc FL, LLC PastSince Nov 17, 2019 Accepting new patients
Aoc TX, LLC Multi-Specialty 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500595200000",
    "number": "1780107664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 FOX RIDGE TRL",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750787937",
            "telephone_number": "469-481-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 S US HIGHWAY 75",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750905707",
            "telephone_number": "903-532-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIASOLLI",
        "first_name": "MICHAEL",
        "credential": "OTR, RRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-21",
        "last_updated": "2017-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "105149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.