Michelle Dermody, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

32000080A Issued in IN

Practice address

901 Macarthur Blvd
Munster, IN 46321-2901

Phone

(219) 836-4527

Fax

(219) 836-6752

NPI assigned

Jul 10, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1992903066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7506 KIL CT",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463753439",
            "telephone_number": "219-864-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MACARTHUR BLVD",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212901",
            "telephone_number": "219-836-4527",
            "fax_number": "219-836-6752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6040 Lute Rd",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "IN",
            "postal_code": "463685008",
            "country_code": "US",
            "telephone_number": "219-763-6858",
            "fax_number": "219-763-4858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERMODY",
        "first_name": "MICHELLE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "32000080A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COTA",
            "identifier": "32000080A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dental Center (Munster) P.C.
• Louis A. Deporter, M.D.
• Barbara Deramona, LCSW
• Dermio Dermatology, LLC
• Dermio Surgery Center
• Kristina Marie Derolf, CRNA
• Devendra Desai, M.D.
• Malhar C Desai, RPH
• Varsha A Desai, MD
• Annette Zora Desancic, RN, BSN

• Occupational Therapy Assistant in Munster, IN
• Providers in Munster, IN by specialty
• Occupational Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.