Active NPI
Pamela Michael
- Physical Therapy Assistant
- New Lebanon, OH
National Provider Identifier
1982941993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 5887
- Practice address
- 101 Mills Place
New Lebanon Care and Rehab Center
New Lebanon, OH 45345 - Phone
- (937) 687-1311
- NPI assigned
- Jan 10, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5887 | IN | Primary |
Addresses
Primary practice location
101 Mills Place
New Lebanon Care and Rehab Center
New Lebanon, OH 45345
Mailing address
11700 Chickenbristle Rd
Farmersville, OH 45325-9231
Phone (937) 696-2979
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 |
|---|---|---|---|
| 5887 | IN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357776000000",
"number": "1982941993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11700 CHICKENBRISTLE RD",
"city": "FARMERSVILLE",
"state": "OH",
"postal_code": "453259231",
"telephone_number": "937-696-2979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MILLS PLACE",
"address_2": "NEW LEBANON CARE AND REHAB CENTER",
"city": "NEW LEBANON",
"state": "OH",
"postal_code": "45345",
"telephone_number": "937-687-1311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAEL",
"first_name": "PAMELA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-10",
"last_updated": "2013-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IN",
"license": "5887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Lebanon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.