Michelle M Peake, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1063 Issued in ND

Practice address

1140 W Capitol Ave
Bismarck, ND 58501

Phone

(701) 450-1900

Fax

(701) 847-7417

NPI assigned

Jan 21, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Peake OT Myofascial Release

  dba Peake OT

  • Occupational Therapist
  • Bismarck, ND
  • NPI 1508483900

  Single Specialty

  Medicare reassignment NPD Authorized official
• Bachndoc Inc.

  dba Lifeways

  • Clinic/Center
  • Bismarck, ND
  • NPI 1053360594

  Single Specialty

  NPD
• Therapy Solutions PLLC

  • Physical Therapist
  • Richland, WA
  • NPI 1104830025

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596240000000",
    "number": "1811173834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BROWNING AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031009",
            "telephone_number": "701-425-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W CAPITOL AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58501",
            "telephone_number": "701-450-1900",
            "fax_number": "701-847-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAKE",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-21",
        "last_updated": "2020-08-01",
        "certification_date": "2020-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "ND",
            "license": "1063",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "1063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfr@peakeot.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1140 W CAPITOL AVE",
            "city": "BISMARCK",
            "state": "ND",
            "country_code": "US",
            "postal_code": "58501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jesus Adalberto Payan Chacon, LAPC
• Victoria Olivia Payan, LPCC
• Peace of Mind Counseling, PLLC
• Peak Chiropractic Inc.
• Peake OT Myofascial Release (Peake OT)
• Abby Pechota
• Monique Alexandra Pederson
• Pedro G Mendoza MD PC (Pneumos Lung and Sleep Specialists)
• Pedro G. Mendoza M.D. P.C. (Pneumos Lung and Sleep Specialist)
• Roger Morris Peet, LAC

• Occupational Therapist in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Occupational Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2020; 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.