Active NPI
Michelle Lynne Brodsky, OTR
- Occupational Therapist
- Fort Collins, CO
National Provider Identifier
1801451166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT.0004852
- Practice address
- 2713 Willow Creek Dr
Fort Collins, CO 80525-6151 - Phone
- (207) 232-1483
- NPI assigned
- May 2, 2019
- Last updated
- May 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT.0004852 | CO | Primary |
Addresses
Primary practice location
2713 Willow Creek Dr
Fort Collins, CO 80525-6151
Mailing address
2713 Willow Creek Dr
Fort Collins, CO 80525-6151
Phone (207) 232-1483
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT.0004852 | CO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556755200000",
"number": "1801451166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2713 WILLOW CREEK DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805256151",
"telephone_number": "207-232-1483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2713 WILLOW CREEK DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805256151",
"telephone_number": "207-232-1483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODSKY",
"first_name": "MICHELLE",
"middle_name": "LYNNE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-02",
"last_updated": "2019-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "OT.0004852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
- Travis Raymond Britton
- Tiffany Marie Broadhurst
- Garrett Brockmeyer, DPT
- Julie M. Brockway, M.D.
- Teryn Brodish
- Dartanyan Broeker
- Andrea Nicole Brogdon, L.AC.
- Steven D Broman, M.D.
- Brookdale Senior Living Communities, Inc. (Brookdale Fort Collins MC (CO))
- Brookdale Senior Living Communities, Inc. (Brookdale Fort Collins AL (CO))
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.