Active NPI
Michelle Leigh Purvis, OTR/L
- Occupational Therapist
- Brandon, MS
National Provider Identifier
1972606846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT2021
- Practice address
- 2015 Highpointe Dr
Brandon, MS 39042 - Phone
- (601) 824-8814
- Fax
- (601) 824-8816
- NPI assigned
- Sep 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT2021 | MS | Primary |
Addresses
Primary practice location
2015 Highpointe Dr
Brandon, MS 39042
Mailing address
PO Box 426
Magee, MS 39111-0426
Phone (601) 849-6440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | MS |
Other names 1
- Michelle Leigh Fisher
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT2021 | MS | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972606846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 426",
"city": "MAGEE",
"state": "MS",
"postal_code": "391110426",
"telephone_number": "601-849-6440",
"fax_number": "601-849-7557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 HIGHPOINTE DR",
"city": "BRANDON",
"state": "MS",
"postal_code": "39042",
"telephone_number": "601-824-8814",
"fax_number": "601-824-8816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURVIS",
"first_name": "MICHELLE",
"middle_name": "LEIGH",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MS",
"license": "OT2021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "FISHER",
"middle_name": "LEIGH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Brandon, MS
- Margaret Lowery Pruitt, M.S., CCC/SLP
- Puckett Family Dentistry
- Puckett Family Medical Clinic
- Puckett Medical Clinic
- Marilyn Marie Purvis
- Quad Intermed Company LLC (MEA Medical Clinics)
- Evelyn Michelle Rainey, DNP, FNP-BC
- April Dawn Randle, DNP, FNP-BC
- Richard C Randolph, M.D.
- Rankin Children's Group, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.