Individual provider Active NPI

Michael J Urban, OTD, MBA, OTRL

  • Occupational Therapist
  • Cheshire, CT
National Provider Identifier
1801883376
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
002838 Issued in CT
Practice address
90 Barkledge CT
Cheshire, CT 06410-3059
Phone
(203) 915-5643
Fax
(203) 303-9600
NPI assigned
Sep 30, 2005
Last updated
Nov 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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 002838 CT Primary

Addresses

Primary practice location

90 Barkledge CT
Cheshire, CT 06410-3059

Mailing address

90 Barkledge CT
Cheshire, CT 06410-3059
Phone (203) 915-5643

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL urbanot.org/contact/ Direct

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
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
002838CTMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1801883376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BARKLEDGE CT",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103059",
            "telephone_number": "203-915-5643",
            "fax_number": "203-303-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BARKLEDGE CT",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103059",
            "telephone_number": "203-915-5643",
            "fax_number": "203-303-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBAN",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OTD, MBA, OTRL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "002838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "urbanot.org/contact/",
            "affiliation": "N",
            "endpointDescription": "Referrals/questions",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "90 Barkledge Ct",
            "city": "Cheshire",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064103059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.