Individual provider Active NPI

Mildred Consolo-Melchionne, COTA

  • Occupational Therapy Assistant
  • Highland Mills, NY
National Provider Identifier
1043462922
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
005559-1 Issued in NY
Practice address
615 RT 32
Pediatric OT Solutions
Highland Mills, NY 10930
Phone
(845) 827-5360
Fax
(845) 827-5361
NPI assigned
Oct 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 005559-1 NY Primary

Addresses

Primary practice location

615 RT 32
Pediatric OT Solutions
Highland Mills, NY 10930

Mailing address

P.O. Box 25
Pediatric OT Solutions
Highland Mills, NY 10930
Phone (845) 827-5360

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
005559-1NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric OT Solutions Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1043462922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 25",
            "address_2": "PEDIATRIC OT SOLUTIONS",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "10930",
            "telephone_number": "845-827-5360",
            "fax_number": "845-827-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 RT 32",
            "address_2": "PEDIATRIC OT SOLUTIONS",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "10930",
            "telephone_number": "845-827-5360",
            "fax_number": "845-827-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSOLO-MELCHIONNE",
        "first_name": "MILDRED",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "005559-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Mills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.

Verify at the official NPI Registry.