Michelle Panebianco, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

020777 Issued in NY

Practice address

381 John S Mosby Dr
Wilmington, NC 28412-7167

Phone

(631) 404-6264

NPI assigned

Sep 29, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Reliance Healthcare

  • Occupational Therapist
  • Bellmore, NY
  • NPI 1205085172
  NPD (past)

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1871042978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 JOHN S MOSBY DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284127167",
            "telephone_number": "631-404-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 JOHN S MOSBY DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284127167",
            "telephone_number": "631-404-6264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 Nutt St Apt 130",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284014372",
            "country_code": "US",
            "telephone_number": "631-404-6264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANEBIANCO",
        "first_name": "MICHELLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "020777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ming Pan, DMD
• Jonathan Kris Pan, M.D.
• Panacea Adventures
• Angeline D Panagi
• Parimal M Panchal, DMD
• Stacie Panek, NP
• Beth Panoff, FNP-C-MSN
• Derek Tyler Pantiel, DPM
• Chloe Papa, PA-C
• Michael Alex Papagikos, M.D.

• Occupational Therapist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.