Individual provider Active NPI

Megan Mitchell, MSOT, OTR/L

  • Occupational Therapist
  • Grand Haven, MI
National Provider Identifier
1841900438
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201013147 Issued in MI
Practice address
627 Elliott Ave
Grand Haven, MI 49417-1040
Phone
(231) 327-4252
NPI assigned
Dec 5, 2022
Last updated
Dec 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201013147 MI Primary

Addresses

Primary practice location

627 Elliott Ave
Grand Haven, MI 49417-1040

Mailing address

2765 Hittle Creek Dr
Fruitport, MI 49415-8811
Phone (231) 327-4252

Other practice location 1

2251 E Paris Ave SE
Grand Rapids, MI 49546-2431
Phone (231) 327-4252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230209001305 MI Practitioner - Occupational Therapist in Private Practice 1951773431 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Speech and Voice Solutions LLC CurrentSince Dec 12, 2022 Accepting new patients

Locations

627 Elliott Ave
Grand Haven, MI 49417
Phone (231) 327-4252

2251 East Paris Ave SE
Grand Rapids, MI 49546
Phone (616) 447-7799

570 E Division St
Rockford, MI 49341
Phone (616) 447-7799

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1841900438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2765 HITTLE CREEK DR",
            "city": "FRUITPORT",
            "state": "MI",
            "postal_code": "494158811",
            "telephone_number": "231-327-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 ELLIOTT AVE",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171040",
            "telephone_number": "231-327-4252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2251 E Paris Ave SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495462431",
            "country_code": "US",
            "telephone_number": "231-327-4252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MEGAN",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201013147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.