Individual provider Active NPI

Michele Semmelroth, OT

  • Occupational Therapist
  • Bucyrus, OH
National Provider Identifier
1790201366
Registry record updated Aug 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
001619 Issued in OH
Practice address
351 S Lane St Ste 1
Bucyrus, OH 44820-2319
Phone
(419) 562-6686
Fax
(419) 562-6625
NPI assigned
Aug 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 001619 OH Primary

Addresses

Primary practice location

351 S Lane St Ste 1
Bucyrus, OH 44820-2319

Mailing address

8883 Walton LN
Powell, OH 43065-9086

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
001619OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitative Associates Inc Occupational Therapist Past Accepting new patients
Rehabilitative Associates Inc Occupational Therapist 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": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502841600000",
    "number": "1790201366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8883 WALTON LN",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430659086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 S LANE ST STE 1",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448202319",
            "telephone_number": "419-562-6686",
            "fax_number": "419-562-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMMELROTH",
        "first_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2017-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "001619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bucyrus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.