ANJELICA MICHELLE THEALL
NPI 1831909589
Occupational Therapist in Plymouth, MI

Active since January 13, 2025
801 W ANN ARBOR TRL STE 220, PLYMOUTH, MI 48170(866) 991-0900 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Anjelica Michelle Theall NPPES

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

ANJELICA MICHELLE THEALL (NPI 1831909589) is an individual occupational therapist in Plymouth, Michigan, licensed in Tennessee (7565) and active in the NPI registry since January 2025. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1831909589
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameANJELICA MICHELLE THEALL
Location Address801 W ANN ARBOR TRL STE 220Plymouth, MI 48170-6224
Mailing Address801 W Ann Arbor Trl Ste 220Plymouth, MI 48170-6224 · (866) 991-0900
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
✔ NPI 1831909589 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 TN · 7565
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.
801 W ANN ARBOR TRL STE 220, Plymouth, MI 48170

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anjelica Michelle Theall is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668946203
PECOS Enrollment IDI20260705000155

Medicare Billing Reassignment

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

Physical Therapist
3056 MILES JOHNSON PKWY
Spring Hill, TN 37174
  • Reassigned Medicare billing, Tennessee enrollment
  • 118 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 20

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

Physical Therapist
801 W ANN ARBOR TRL STE 220
PLYMOUTH, MI 48170
Physical Therapist
801 W ANN ARBOR TRL STE 220
PLYMOUTH, MI 48170
Physical Therapist
801 W ANN ARBOR TRL STE 220
PLYMOUTH, MI 48170
Physical Therapist
801 W ANN ARBOR TRL STE 220
PLYMOUTH, MI 48170
Physical Therapist
801 W ANN ARBOR TRL STE 220
PLYMOUTH, MI 48170
Physical Therapist
801 W ANN ARBOR TRL STE 220
PLYMOUTH, MI 48170
Physical Therapist
801 W ANN ARBOR TRL STE 220
PLYMOUTH, MI 48170
Physical Therapist
801 W ANN ARBOR TRL STE 220
PLYMOUTH, MI 48170

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 Anjelica Theall's NPI number?

The NPI number for Anjelica Theall is 1831909589. It was assigned to this individual provider in the NPPES registry on January 13, 2025.

Where is Anjelica Theall located?

Anjelica Theall practices at 801 W Ann Arbor Trl Ste 220, Plymouth, MI 48170. The listed phone number is (866) 991-0900.

What is Anjelica Theall's specialty?

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

Is Anjelica Theall enrolled in Medicare?

Yes. Anjelica Theall is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Anjelica Theall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anjelica Theall reassigns Medicare benefits to Fox Rehabilitation Services Tn LLC (Spring Hill, TN). 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 Anjelica Theall'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 Anjelica Theall was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.