Melanie A Ford, OTD

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

OT60061027 Issued in WA

Practice address

1214 N Bennett St
Silver City, NM 88061-6502

Phone

(505) 534-1280

Fax

(505) 534-9734

NPI assigned

Jul 11, 2005

Reactivated

Mar 21, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Protherapy Inc

  • Occupational Therapist
  • Silver City, NM
  • NPI 1720102098
  NPD (past) Authorized official

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1043218332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E. 2ND AVE",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "99114",
            "telephone_number": "509-684-5027",
            "fax_number": "509-684-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 N BENNETT ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880616502",
            "telephone_number": "505-534-1280",
            "fax_number": "505-534-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "MELANIE",
        "middle_name": "A",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2018-10-17",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "WA",
            "license": "OT60061027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17955866",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Alan Finer, CPSW
• Sally Jean Fitzgerald, RPT
• Flores de Tepeyac Behavioral Health PC
• Jose Fabio Flores Villalobos, LSP
• John Anthony Flores, MD
• Tina Forgas, CPSW
• Michelle Foster, LMSW
• Rhonda K Fox
• Jennifer Leigh Franz, FNP
• Durelle L Freeman, LMHC

• Physical Rehabilitation Occupational Therapist in Silver City, NM
• Providers in Silver City, NM by specialty
• Physical Rehabilitation Occupational Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.