Melissa Dolores McDivitt, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA001464 Issued in GA

Practice address

128 Frances Meeks Way
Richmond Hill, GA 31324-3983

Phone

(912) 727-2321

NPI assigned

Oct 11, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1013269299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 BIRCHFIELD DR",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313136478",
            "telephone_number": "321-480-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 FRANCES MEEKS WAY",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243983",
            "telephone_number": "912-727-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDIVITT",
        "first_name": "MELISSA",
        "middle_name": "DOLORES",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "OTA001464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiara Ragine Martin, RBT
• Manuela Mata
• Briana Mathis
• Chelsea McBride, RBT
• Tinarah Vettarhonda McCrea
• Candice Marie McDonald, LPC
• Hollis McDonald Jr., HAD
• Nicole Calkins McDonald, PT, DPT
• Susan McDonald, M.ED., CCC-SLP
• Patricia Elise McGuire

• Occupational Therapy Assistant in Richmond Hill, GA
• Providers in Richmond Hill, GA by specialty
• Occupational Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.