Individual provider Active NPI

Michele Marie Nagengast, MS, OTR/L

  • Occupational Therapist
  • Green Island, NY
National Provider Identifier
1891266698
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
9583901 Issued in NY
Practice address
171 Hudson Ave
Green Island, NY 12183-1212
Phone
(518) 273-1422
NPI assigned
Dec 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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 9583901 NY Primary

Addresses

Primary practice location

171 Hudson Ave
Green Island, NY 12183-1212

Mailing address

171 Hudson Ave
Green Island, NY 12183-1212
Phone (518) 273-1422

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
9583901NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Green Island Union Free School District Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1891266698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 HUDSON AVE",
            "city": "GREEN ISLAND",
            "state": "NY",
            "postal_code": "121831212",
            "telephone_number": "518-273-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 HUDSON AVE",
            "city": "GREEN ISLAND",
            "state": "NY",
            "postal_code": "121831212",
            "telephone_number": "518-273-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGENGAST",
        "first_name": "MICHELE",
        "middle_name": "MARIE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "9583901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Island, NY

Sources for this page

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

Verify at the official NPI Registry.