Michelle Dieu Tram Nguyen, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

23017 Issued in CA

Practice address

500 Tamal PLZ Ste 505
Corte Madera, CA 94925-1184

Phone

(415) 531-3027

NPI assigned

May 20, 2022

Last updated

Jul 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Locations

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.

• Little Hands OT

  • Pediatric Occupational Therapist
  • Corte Madera, CA
  • NPI 1790245124

  Pediatrics

  NPD

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1780322628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 TAMAL PLZ STE 505",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251184",
            "telephone_number": "415-531-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 TAMAL PLZ STE 505",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251184",
            "telephone_number": "415-531-3027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Tamal Plz Ste 505",
            "address_purpose": "LOCATION",
            "city": "Corte Madera",
            "state": "CA",
            "postal_code": "949251184",
            "country_code": "US",
            "telephone_number": "415-531-3027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MICHELLE",
        "middle_name": "DIEU TRAM",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "23017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mulder & Baumbacher MDS Inc. (North Bay TMS)
• Mvjbp Physical Therapy Corporation (Mill Valley Physical Therapy)
• Farbod Nadjibi, DDS
• Deborah Riva Nelson, PHD, MFT
• Donald B Nevins, M.D.
• Alexandra Nichols, PHD
• Susan Mary Nickerson
• Summer Nipomnick, PHD
• Nordstrom Inc & Subsidiaries
• North Bay Internal Medicine and Pediatrics

• Pediatric Occupational Therapist in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.