Michelle Lea Richardson, OTR – Specialist

Key facts

NPI: 1801990171
Entity type: Individual (NPI type 1)
Primary specialty: Specialist 174400000X
License: OT665 (ME)
Practice address: 1318 US Route 202
Suite D
Winthrop, ME 04364-3821
Phone: (207) 377-5902
Fax: (207) 377-5904
NPI assigned: Sep 8, 2006
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
OT665	ME	MD	Specialist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Specialist	174400000X	OT665	ME	Yes

Addresses

Primary practice location

1318 US Route 202
Suite D
Winthrop, ME 04364-3821

Mailing address

233 Harlow Hill Rd
Turner, ME 04282-3521
Phone (207) 225-2857

Other identifiers

Identifier	Type	State	Issuer
015505	Other	ME	ANTHEM

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1801990171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 HARLOW HILL RD",
            "city": "TURNER",
            "state": "ME",
            "postal_code": "042823521",
            "telephone_number": "207-225-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 US ROUTE 202",
            "address_2": "SUITE D",
            "city": "WINTHROP",
            "state": "ME",
            "postal_code": "043643821",
            "telephone_number": "207-377-5902",
            "fax_number": "207-377-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "MICHELLE",
        "middle_name": "LEA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ME",
            "license": "OT665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "015505",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winthrop, ME

All providers in Winthrop, ME · Specialist in Maine

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.