Individual provider Active NPI

Michelle Lee Dixon, OTR/L

  • Occupational Therapist
  • Lakewood, CO
National Provider Identifier
1912416660
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0005187 Issued in CO
Practice address
1622 S Owens St. Apt #288
Lakewood, CO 80232
Phone
(239) 357-7719
NPI assigned
Sep 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 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 OT.0005187 CO Primary

Addresses

Primary practice location

1622 S Owens St. Apt #288
Lakewood, CO 80232

Mailing address

1622 S Owens St Apt 288
Lakewood, CO 80232-6167
Phone (239) 357-7719

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221125000390 CO Practitioner - Occupational Therapist in Private Practice 6103294061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado in Motion LLCGroup PAC ID 9931515483, 41 clinicians

Practice addresses (Care Compare)

3744 S Timberline Rd
Suite 103
Fort Collins, CO 80525-4334
Phone (970) 221-1201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT.0005187COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado in Motion LLC CurrentSince Aug 13, 2022 Accepting new patients
Colorado Physical Therapy Specialists PLLC Occupational Therapist Past Accepting new patients

Locations

3744 S Timberline Rd
Ste 103
Fort Collins, CO 80525
Phone (970) 204-4263

115 E Harmony Rd
Ste 160
Fort Collins, CO 80525
Phone (630) 881-1560

331 Hickory St
Ste 130
Fort Collins, CO 80524

1901 56th Ave
Ste 100
Greeley, CO 80634
Phone (970) 451-5776

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1912416660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 S OWENS ST APT 288",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802326167",
            "telephone_number": "239-357-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 S OWENS ST. APT #288",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80232",
            "telephone_number": "239-357-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0005187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.