Active NPI
Michelle Mills, OTD, OTR/L
- Occupational Therapist
- Lacey, WA
National Provider Identifier
1851793780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 00003770
- Practice address
- 305 College St NE
Lacey, WA 98516-5390 - Phone
- (360) 412-4400
- NPI assigned
- Sep 23, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 00003770 | WA | Primary |
Addresses
Primary practice location
305 College St NE
Lacey, WA 98516-5390
Mailing address
305 College St NE
Lacey, WA 98516-5390
Phone (360) 412-4400
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 |
|---|---|---|---|
| 00003770 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411430400000",
"number": "1851793780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 COLLEGE ST NE",
"city": "LACEY",
"state": "WA",
"postal_code": "985165390",
"telephone_number": "360-412-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 COLLEGE ST NE",
"city": "LACEY",
"state": "WA",
"postal_code": "985165390",
"telephone_number": "360-412-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "MICHELLE",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-23",
"last_updated": "2014-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "00003770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.