Individual provider Active NPI

Melissa Jean Meikle

  • Occupational Therapist
  • Rockledge, FL
National Provider Identifier
1003018607
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 14307 Issued in FL
Practice address
1535 Cogswell St Ste 24
Rockledge, FL 32955-2738
Phone
(321) 872-8737
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 14307 FL Primary

Addresses

Primary practice location

1535 Cogswell St Ste 24
Rockledge, FL 32955-2738

Mailing address

1524 Alto Vista Dr
Melbourne, FL 32940-6996
Phone (720) 353-8568

Other practice location 1

2040 Highway A1A Ste 203
Indian Harbour Beach, FL 32937-3566
Phone (321) 773-8989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT 14307FLMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1003018607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 ALTO VISTA DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406996",
            "telephone_number": "720-353-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 COGSWELL ST STE 24",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552738",
            "telephone_number": "321-872-8737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2040 Highway A1A Ste 203",
            "address_purpose": "LOCATION",
            "city": "Indian Harbour Beach",
            "state": "FL",
            "postal_code": "329373566",
            "country_code": "US",
            "telephone_number": "321-773-8989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEIKLE",
        "first_name": "MELISSA",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 14307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.