Melanie Renee Harley, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5697 Issued in SC

Practice address

706 North Windowpane Way
Duncan, SC 29334-8979

Phone

(850) 570-5167

Fax

(864) 310-4415

NPI assigned

Jan 19, 2017

Last updated

Jun 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC, AL2 enrollments

Enrollment records 2

Specialty

Occupational Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Melanie Harley Dba Ot2Go

  dba Ot2Go

  • Occupational Therapist
  • Duncan, SC
  • NPI 1285308478

  Multi-Specialty

  NPD Authorized official
• Ot2Go Innovation to Elevation

  • Community/Behavioral Health Agency
  • Vestavia Hills, AL
  • NPI 1891512125

  Occupational Therapist

  NPD Authorized official

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624147200000",
    "number": "1053858795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 N WINDOWPANE WAY",
            "city": "DUNCAN",
            "state": "SC",
            "postal_code": "293348979",
            "telephone_number": "850-570-5167",
            "fax_number": "864-310-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 NORTH WINDOWPANE WAY",
            "city": "DUNCAN",
            "state": "SC",
            "postal_code": "293348979",
            "telephone_number": "850-570-5167",
            "fax_number": "864-310-4415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1747 Capital Cir NE",
            "address_2": "Apt 1602",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323085575",
            "country_code": "US",
            "telephone_number": "850-570-5167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARLEY",
        "first_name": "MELANIE",
        "middle_name": "RENEE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-19",
        "last_updated": "2021-06-20",
        "certification_date": "2021-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 18182",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT18182",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "5697",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "376976",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH4227",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Duncan, SC
• Providers in Duncan, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.