Melody Fabian, M.S, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

13347 Issued in CA

Practice address

1479 Saratoga Ave
San Jose, CA 95129-4934

Phone

(877) 925-7717

NPI assigned

Jul 1, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Melody Pothier Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1063828846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 SARATOGA AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951294934",
            "telephone_number": "877-925-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1479 SARATOGA AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951294934",
            "telephone_number": "877-925-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIAN",
        "first_name": "MELODY",
        "name_prefix": "Mrs.",
        "credential": "M.S, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "13347",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "13347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELODY",
            "last_name": "POTHIER",
            "prefix": "MISS",
            "credential": "M.S. OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Angelo Fabe
• Bonnie Lynn Faber, MFT
• Nicholas Faberowski, MD
• Evelyn Fabian, SOCIAL WORKERS
• Larry R Fabian, OD
• Raymond Fabie, MD
• Ryan Forbes Fabie, BS
• Fabrice J Gallez, DDS, Ms, Inc
• Joslyn M Fabro
• Nouran Fadle

• Pediatric Occupational Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.