Individual provider Active NPI

Michelle Lynn Gilson, OTR/L, CHT

  • Hand Occupational Therapist
  • West Bloomfield, MI
National Provider Identifier
1891296463
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
5201000067 Issued in MI
Practice address
6900 Orchard Lake Rd Ste LL09
West Bloomfield, MI 48322-3423
Phone
(248) 855-7411
Fax
(248) 855-7419
NPI assigned
Feb 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 5201000067 MI Primary

Addresses

Primary practice location

6900 Orchard Lake Rd Ste LL09
West Bloomfield, MI 48322-3423

Mailing address

6900 Orchard Lake Rd Ste LL09
West Bloomfield, MI 48322-3423
Phone (248) 855-7411

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

LicenseStateTypeSpecialty
5201000067MIMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
William Beaumont Hospital 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": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1891296463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 ORCHARD LAKE RD STE LL09",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223423",
            "telephone_number": "248-855-7411",
            "fax_number": "248-855-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 ORCHARD LAKE RD STE LL09",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223423",
            "telephone_number": "248-855-7411",
            "fax_number": "248-855-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILSON",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MI",
            "license": "5201000067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.