Michelle Gail Tanner, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

113990 Issued in TX

Practice address

3705 Medical Pkwy
Suite 515
Austin, TX 78705-1019

Phone

(512) 452-6475

Fax

(512) 371-7051

NPI assigned

Feb 17, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Gail Simon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499299200000",
    "number": "1841597481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY",
            "address_2": "SUITE 515",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051019",
            "telephone_number": "512-452-6475",
            "fax_number": "512-371-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY",
            "address_2": "SUITE 515",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051019",
            "telephone_number": "512-452-6475",
            "fax_number": "512-371-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "MICHELLE",
        "middle_name": "GAIL",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-17",
        "last_updated": "2017-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "113990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "SIMON",
            "middle_name": "GAIL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathleen Tankersley, RPH
• George Arthur Tanksley Jr., DMD
• Tanner B. Gregory, D.D.S.,P.L.L.C.
• Erika Tanner, RN
• John Tanner, PHD
• Tracy Nicole Tanner, LPC
• Cathy Tannery
• Rawah Tannous, MD
• Dianne Hill Tannreuther, M.S., OTR
• Genevieve Tano

• Occupational Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; 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.