Active NPI
Melissa Marie Novak, MS.OTR/L
- Occupational Therapist
- Atlanta, GA
National Provider Identifier
1013195304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 004279
- Practice address
- 1441 Clifton Rd NE
Atlanta, GA 30322-1004 - Phone
- (404) 712-5512
- NPI assigned
- Feb 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 004279 | GA | Primary |
| Occupational Therapist | 225X00000X | 11924 | FL | |
| Occupational Therapist | 225X00000X | 006373 | OH |
Addresses
Primary practice location
1441 Clifton Rd NE
Atlanta, GA 30322-1004
Mailing address
701 Highland Ave NE
1642
Atlanta, GA 30312-1478
Phone (440) 343-7138
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
| License | State | Type | Specialty |
|---|---|---|---|
| 004279 | GA | MD | Professional Counselor |
| 11924 | FL | MD | General Practice Dentistry |
| 006373 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202428800000",
"number": "1013195304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 HIGHLAND AVE NE",
"address_2": "1642",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303121478",
"telephone_number": "440-343-7138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 CLIFTON RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221004",
"telephone_number": "404-712-5512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVAK",
"first_name": "MELISSA",
"middle_name": "MARIE",
"credential": "MS.OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-08",
"last_updated": "2008-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "004279",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "11924",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "006373",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.