Michelle A Bragdon-Place, OTR-L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1699 Issued in NH

Practice address

6 Sarah Way
Newton, NH 03858-3426

Phone

(603) 378-0140

Fax

(603) 974-0779

NPI assigned

May 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Restore Mobile Therapy LLCGroup PAC ID 3072939669, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Restore Mobile Therapy LLC

  • Occupational Therapist
  • Brookfield, CT
  • NPI 1205451663
  Medicare reassignment Care Compare group NPD
• Therapy in Motion LLC

  • Occupational Therapist
  • Newton, NH
  • NPI 1750596557
  NPD (past) Authorized official

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273536000000",
    "number": "1801001631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SARAH WAY",
            "city": "NEWTON",
            "state": "NH",
            "postal_code": "038583426",
            "telephone_number": "603-378-0140",
            "fax_number": "603-974-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SARAH WAY",
            "city": "NEWTON",
            "state": "NH",
            "postal_code": "038583426",
            "telephone_number": "603-378-0140",
            "fax_number": "603-974-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGDON-PLACE",
        "first_name": "MICHELLE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "OTR-L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2010-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "1699",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "8702",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0325929",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30413322",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Back in Motion Chiropractic
• William Sumner Branting, DMD
• Meghan Dyer, PHARM, D
• Jon Eaton, MSW
• Robert F Faghan, MLADC
• Christine Farnum

• Occupational Therapist in Newton, NH
• Providers in Newton, NH by specialty
• Occupational Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.