Active NPI
Michaela Marie Robertson, OTR/L
- Occupational Therapist
- Plain City, OH
National Provider Identifier
1992576185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT013138
- Practice address
- 7359 Meadowgold Dr
Plain City, OH 43064-7613 - Phone
- (937) 707-5726
- NPI assigned
- Jan 16, 2024
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT013138 | OH | Primary |
Addresses
Primary practice location
7359 Meadowgold Dr
Plain City, OH 43064-7613
Mailing address
7359 Meadowgold Dr
Plain City, OH 43064-7613
Phone (937) 707-5726
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 |
|---|---|---|---|
| OT013138 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1992576185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7359 MEADOWGOLD DR",
"city": "PLAIN CITY",
"state": "OH",
"postal_code": "430647613",
"telephone_number": "937-707-5726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7359 MEADOWGOLD DR",
"city": "PLAIN CITY",
"state": "OH",
"postal_code": "430647613",
"telephone_number": "937-707-5726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "MICHAELA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-16",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT013138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plain City, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.