Active NPI
Melinda L Main, MSOTR/L
- Occupational Therapist
- Portsmouth, NH
National Provider Identifier
1063727626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2561
- Practice address
- 73 Corporate Dr Ste 100
Portsmouth, NH 03801-2847 - Phone
- (603) 868-2600
- NPI assigned
- Aug 8, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2561 | NH | Primary |
Addresses
Primary practice location
73 Corporate Dr Ste 100
Portsmouth, NH 03801-2847
Mailing address
21 Ireland Dr
Berwick, ME 03901-2108
Phone (603) 781-8748
Other practice location 1
67 Corporate Dr Fl 2
Portsmouth, NH 03801-2847
Phone (603) 868-8580
Other practice location 2
789 Central Ave
Dover, NH 03820-2526
Phone (603) 740-2101
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2561 | NH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wentworth Douglass Physician Corporation | 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.
-
- Diagnostic Radiology Physician
- Somersworth, NH
- NPI 1295326494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619136000000",
"number": "1063727626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 IRELAND DR",
"city": "BERWICK",
"state": "ME",
"postal_code": "039012108",
"telephone_number": "603-781-8748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 CORPORATE DR STE 100",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038012847",
"telephone_number": "603-868-2600"
}
],
"practiceLocations": [
{
"address_1": "67 Corporate Dr Fl 2",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "NH",
"postal_code": "038012847",
"country_code": "US",
"telephone_number": "603-868-8580",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "789 Central Ave",
"address_purpose": "LOCATION",
"city": "Dover",
"state": "NH",
"postal_code": "038202526",
"country_code": "US",
"telephone_number": "603-740-2101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAIN",
"first_name": "MELINDA",
"middle_name": "L",
"credential": "MSOTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-08",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "2561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.