Provider Demographics
NPI:1376551465
Name:SCHMIDT, MICHELLE LEE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:LEE
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MRS
Other - First Name:MICHELLE
Other - Middle Name:LEE
Other - Last Name:URYJASZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L, BCP, ATP
Mailing Address - Street 1:1421 SPRUCE LN
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-3009
Mailing Address - Country:US
Mailing Address - Phone:630-643-3943
Mailing Address - Fax:
Practice Address - Street 1:6509 POWELL ST
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60516-2721
Practice Address - Country:US
Practice Address - Phone:630-719-5850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056-002794225X00000X
WI3403-026225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist