Individual provider Active NPI

Melissa M Remus, MS,OTR-L

  • Occupational Therapist
  • Wilkes Barre, PA
National Provider Identifier
1013032796
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0C009190 Issued in PA
Practice address
440 N River St
Wilkes Barre, PA 18702-2631
Phone
(570) 831-8622
Fax
(570) 970-0318
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0C009190 PA Primary

Addresses

Primary practice location

440 N River St
Wilkes Barre, PA 18702-2631

Mailing address

24 Garfield St
Dallas, PA 18612-9043
Phone (570) 674-3122

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0C009190PAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013032796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 GARFIELD ST",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186129043",
            "telephone_number": "570-674-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N RIVER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022631",
            "telephone_number": "570-831-8622",
            "fax_number": "570-970-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMUS",
        "first_name": "MELISSA",
        "middle_name": "M",
        "credential": "MS,OTR-L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "0C009190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.