Individual provider Active NPI

Michelle K Brosey, OT

  • Hand Occupational Therapist
  • Lancaster, PA
National Provider Identifier
1942286554
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OC006143L Issued in PA
Practice address
231 Granite Run Dr
Lancaster, PA 17601-6823
Phone
(717) 560-4200
Fax
(717) 560-6380
NPI assigned
Dec 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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 OC006143L PA Primary

Addresses

Primary practice location

231 Granite Run Dr
Lancaster, PA 17601-6823

Mailing address

572 Candlewyck Rd
Lancaster, PA 17601-2861
Phone (717) 560-4200

Other identifiers 1

IdentifierTypeStateIssuer
200037025OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040816000508 PA Practitioner - Occupational Therapist in Private Practice 2062485352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster Orthopedic Group, Inc.Group PAC ID 1557264678, 76 clinicians
US PT Alliance Rehabilitation Services IncGroup PAC ID 6709946148, 5 clinicians

Practice addresses (Care Compare)

231 Granite Run Dr
Lancaster, PA 17601-6823
Phone (717) 560-4200

40 W 11TH Ave
Suite a
York, PA 17404-2051
Phone (717) 852-7733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC006143LPAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster Orthopedic Group, Inc. CurrentSince Jul 1, 2004 Accepting new patients
US PT Alliance Rehabilitation Services Inc CurrentSince Aug 30, 2012 Accepting new patients
Lancaster Orthopedic Group, Inc. Past Accepting new patients

Locations

231 Granite Run Dr
Lancaster, PA 17601
Phone (717) 560-4200

1009 E Main St
Mount Joy, PA 17552
Phone (717) 544-3537

40 W 11th Ave
Ste A
York, PA 17404
Phone (717) 852-7733

Organizations & group practices 3

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": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1942286554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 CANDLEWYCK RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012861",
            "telephone_number": "717-560-4200",
            "fax_number": "717-560-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 GRANITE RUN DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016823",
            "telephone_number": "717-560-4200",
            "fax_number": "717-560-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSEY",
        "first_name": "MICHELLE",
        "middle_name": "K",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "PA",
            "license": "OC006143L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200037025",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.