Active NPI
Michelle Louise Conroy
- Occupational Therapist
- Indianapolis, IN
National Provider Identifier
1831476571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-2077
- Practice address
- 7345 Woodland Dr Ste C
Indianapolis, IN 46278-1737 - Phone
- (317) 286-2885
- NPI assigned
- Nov 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | OT14754 | FL | |
| Occupational Therapist | 225X00000X | 119162 | TX | |
| Occupational Therapist | 225X00000X | OT-2077 | NV | Primary |
Addresses
Primary practice location
7345 Woodland Dr Ste C
Indianapolis, IN 46278-1737
Mailing address
7345 Woodland Dr Ste C
Indianapolis, IN 46278-1737
Phone (317) 286-2885
Other practice location 1
14902 Shelborne Rd
Westfield, IN 46074-9668
Phone (317) 286-2885
Other practice location 2
6600 Killgore Dr
Amarillo, TX 79106-3700
Phone (806) 350-2200
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT14754 | FL | MD | Contractor |
| OT-2077 | NV | MD | Occupational Therapist |
| 119162 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1831476571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7345 WOODLAND DR STE C",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462781737",
"telephone_number": "317-286-2885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7345 WOODLAND DR STE C",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462781737",
"telephone_number": "317-286-2885"
}
],
"practiceLocations": [
{
"address_1": "14902 Shelborne Rd",
"address_purpose": "LOCATION",
"city": "Westfield",
"state": "IN",
"postal_code": "460749668",
"country_code": "US",
"telephone_number": "317-286-2885",
"fax_number": "317-388-0805",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6600 Killgore Dr",
"address_purpose": "LOCATION",
"city": "Amarillo",
"state": "TX",
"postal_code": "791063700",
"country_code": "US",
"telephone_number": "806-350-2200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONROY",
"first_name": "MICHELLE",
"middle_name": "LOUISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-09",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "FL",
"license": "OT14754",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "119162",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NV",
"license": "OT-2077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.