Individual provider Active NPI

Melissa Odette Vega Jackson, OTR/L

  • Occupational Therapist
  • Land O' Lakes, FL
National Provider Identifier
1063681526
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
12866 Issued in FL
Practice address
3773 Seven Seas Ave
Land O Lakes, FL 34638-2905
Phone
(813) 951-1381
NPI assigned
Feb 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 12866 FL Primary
Occupational Therapist 225X00000X 016286-1 NY

Addresses

Primary practice location

3773 Seven Seas Ave
Land O Lakes, FL 34638-2905

Mailing address

3773 Seven Seas Ave
Land O Lakes, FL 34638-2905
Phone (813) 951-1381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161222000337 FL Practitioner - Occupational Therapist in Private Practice 5294016762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7544 Jacque Rd
Hudson, FL 34667-7162
Phone (727) 697-2200

Merit-based Incentive Payment System (MIPS)

Final score
80.53 of 100Reported as group
Quality
63.31
Promoting interoperability
96
Improvement activities
40
Cost
69.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016286-1NYMDClinical Psychologist
12866FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Bone and Joint Disease, PA CurrentSince Oct 18, 2016 Accepting new patients
The Center for Bone and Joint Disease, PA CurrentSince Oct 18, 2016 Accepting new patients
The Center for Bone and Joint Disease, PA Current Accepting new patients

Locations

7544 Jacque Rd
Hudson, FL 34667
Phone (727) 697-2200

Interoperability endpoints

  • Direct secure messaging: melissa.jackson@centerforboneandjoint.directbygreenway.com

Organizations & group practices 3

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": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1063681526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3773 SEVEN SEAS AVE",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346382905",
            "telephone_number": "813-951-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3773 SEVEN SEAS AVE",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346382905",
            "telephone_number": "813-951-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MELISSA",
        "middle_name": "ODETTE VEGA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "12866",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "016286-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O' Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.