MICHELLE PETTIT MA OTR/L
NPI 1760917710
Occupational Therapist in Anoka, MN

Active since April 27, 2017Accepts Medicare Assignment
2829 VERNDALE AVE, PEDIATRIC THERAPY DEPARTMENT, ANOKA, MN 55303(763) 233-7274 Get Directions Write a Review

NPPES record last updated: April 27, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michelle Pettit Ma Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE PETTIT MA OTR/L (NPI 1760917710) is an individual occupational therapist in Anoka, Minnesota, licensed in Minnesota (105290) and active in the NPI registry since April 2017. She is a graduate of Other (2016).

NPPES Registry Identity

NPI1760917710
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMICHELLE PETTITCredential: MA OTR/L
Location Address2829 VERNDALE AVE, PEDIATRIC THERAPY DEPARTMENTAnoka, MN 55303-1620
Mailing Address2829 Verndale Ave, Pediatric Therapy DepartmentAnoka, MN 55303-1620 · (763) 233-7274
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 27, 2017
✔ NPI 1760917710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in MN · 105290
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
2829 VERNDALE AVE, Anoka, MN 55303

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle Pettit Ma Otr/l is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769813096
PECOS Enrollment IDI20200520002254

Medicare Billing Reassignment

Medicare enrollment records show Michelle Pettit reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Occupational Therapist
9817 GARDEN LN
Rogers, MN 55374
  • Reassigned Medicare billing, Minnesota enrollment
  • 8 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
2829 VERNDALE AVE
ANOKA, MN 55303
Marriage & Family Therapist
2829 VERNDALE AVE
ANOKA, MN 55303
Marriage & Family Therapist
2829 VERNDALE AVE
ANOKA, MN 55303
Marriage & Family Therapist
2829 VERNDALE AVE
ANOKA, MN 55303
Psychologist (Clinical Child & Adolescent)
2829 VERNDALE AVE
ANOKA, MN 55303
Occupational Therapist (Pediatrics)
2829 VERNDALE AVE
ANOKA, MN 55303
Speech-Language Pathologist
2829 VERNDALE AVE
ANOKA, MN 55303
Occupational Therapist
2829 VERNDALE AVE
ANOKA, MN 55303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Pettit's NPI number?

The NPI number for Michelle Pettit is 1760917710. It was assigned to this individual provider in the NPPES registry on April 27, 2017.

Where is Michelle Pettit located?

Michelle Pettit practices at 2829 Verndale Ave Pediatric Therapy Department, Anoka, MN 55303. The listed phone number is (763) 233-7274.

What is Michelle Pettit's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Michelle Pettit enrolled in Medicare?

Yes. Michelle Pettit is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Michelle Pettit's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Pettit reassigns Medicare benefits to Roots And Wings Therapeutic Services LLC (Rogers, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Pettit's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michelle Pettit was last updated on April 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.