Michelle Marchetti, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.015078 Issued in IL

Practice address

473 W Army Trail Rd Ste 107
Bloomingdale, IL 60108-2674

Phone

(224) 520-8562

NPI assigned

Sep 26, 2022

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 identifiers 1

Electronic endpoints 1

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.

• Easter Seals Dupage and the Fox Valley Region

  • Physical Therapist
  • Villa Park, IL
  • NPI 1194122739

  Occupational Therapist

  NPD (past)
• Easter Seals Dupage and the Fox Valley Region

  • Physical Therapist
  • Villa Park, IL
  • NPI 1568460681

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1780307611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 W ARMY TRAIL RD STE 107",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 W ARMY TRAIL RD STE 107",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082674",
            "telephone_number": "224-520-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHETTI",
        "first_name": "MICHELLE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.015078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE (IDFPR)",
            "identifier": "056.015078",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmarchetti@mwspeech.com",
            "affiliation": "Y",
            "affiliationName": "Midwest Speech Therapy, PC",
            "address_1": "473 W Army Trail Rd Ste 107",
            "city": "Bloomingdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601082674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Phillip Kreg Mallow, DDS
• Donovan Chase Maloney
• Mandeep S Kohli DO SC
• Agnieszka Magdalena Mantzas, LCPC, CEAP
• Anas Maqsood, RPH
• Kimberly Marin, NP
• Justin Maristela, PTA
• Markund Childrens Home
• Marriage and Family Solutions LLC
• Cameron Michael Martin

• Occupational Therapist in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.