Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anjelica Michelle Theall

Individual provider Occupational Therapist · NPI 1831909589

Anjelica Michelle Theall is an Occupational Therapist in Private Practice in Plymouth, Michigan. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Tennessee.

Years since qualifying
4
Licensed in
TN
In the registry since
2025
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Practice location Address checks out

801 W Ann Arbor Trl Ste 220
Plymouth, MI 48170-6224
Phone: (866) 991-0900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 7565 (TN)

Record details

NPI number1831909589
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 13, 2025
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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