MS. MICHELLE LYNN MIODUSZEWSKI (OTR/L) – Occupational Therapist, NPI 1689826075
Occupational Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
855 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in PA
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Provider Addresses for MS. MICHELLE LYNN MIODUSZEWSKI (OTR/L)
106, West 11th Street, Downtown Erie, Erie, Erie County, Pennsylvania, 16501, United States
ERIE, PA 165011758
Phone: (814) 464-0627
Fax: (814) 464-0629
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-08-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090805000610 | I | Occupational Therapist In Private Practice | PA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | 4,251 | 39 | $0 |
| 97168 | Re-evaluation for occupational therapy, typically 30 minutes | 163 | 29 | $0 |
| 97755 | Evaluation for assistive technology, each 15 minutes | 112 | 14 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 105 | 18 | $0 |
| 97750 | Test or measurement for functional capacity, each 15 minutes | 46 | 19 | $0 |
Insurance plans in this area (ZIP 16501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | PA | |
| Qualified Speech Language Pathologist | PA | |
| - | PA | |
| Occupational Therapist In Private Practice | PA | |
| Qualified Speech Language Pathologist | PA | |
| Occupational Therapist In Private Practice | PA | |
| Occupational Therapist In Private Practice | PA | |
| Occupational Therapist In Private Practice | PA | |
| Physical Therapist In Private Practice | PA | |
| Physical Therapist In Private Practice | NC |
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