Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michelle Pettit, MAOTR/L

Individual provider Occupational Therapist · NPI 1760917710

Michelle Pettit, MAOTR/L is an Occupational Therapist in Private Practice in Anoka, Minnesota. Qualified in 2016, 10 years ago. Practices with Roots and Wings Therapeutic Services LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2017
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Practice location Address checks out

2829 Verndale Ave Pediatric Therapy Dept
Anoka, MN 55303-1620
Phone: (763) 233-7274
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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 105290 (MN)

Record details

NPI number1760917710
Entity typeIndividual (Type 1)
GenderFemale
Credentials MAOTR/L
Sole proprietorNo
NPI enumeratedApril 27, 2017
Last updated in NPPESApril 27, 2017

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Roots And Wings Therapeutic Services Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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