Individual provider Active NPI

Michelle Hernandez, COTA

  • Occupational Therapy Assistant
  • Aiken, SC
National Provider Identifier
1821366196
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
2877 Issued in SC
Practice address
181 Town Creek Rd
Aiken, SC 29803-5841
Phone
(803) 642-0700
Fax
(803) 642-0588
NPI assigned
Dec 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2877 SC Primary

Addresses

Primary practice location

181 Town Creek Rd
Aiken, SC 29803-5841

Mailing address

181 Town Creek Rd
Aiken, SC 29803-5841
Phone (803) 642-0700

Other practice location 1

714 S Lake Dr Ste 150
Lexington, SC 29072-3473
Phone (803) 356-4782

Other identifiers 1

IdentifierTypeStateIssuer
2877OtherSCSTATE LICENSE

Other names 1

  • Michelle Ortiz Former name

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Therapy of Aiken, LLC CurrentSince Jul 25, 2021 Accepting new patients
Pediatric Therapy of Aiken, LLC CurrentSince Dec 13, 2022 Accepting new patients

Locations

6140 Woodside Executive Ct
Aiken, SC 29803
Phone (803) 226-0442

181 Town Creek Rd
Aiken, SC 29803
Phone (803) 642-0700

714 S Lake Dr
Ste 150
Lexington, SC 29072
Phone (803) 356-4782

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1821366196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 TOWN CREEK RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035841",
            "telephone_number": "803-642-0700",
            "fax_number": "803-642-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 TOWN CREEK RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035841",
            "telephone_number": "803-642-0700",
            "fax_number": "803-642-0588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "714 S Lake Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290723473",
            "country_code": "US",
            "telephone_number": "803-356-4782",
            "fax_number": "803-996-4782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MICHELLE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-01",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "2877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2877",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "ORTIZ",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.