Active NPI
Miryan Elena Melamed, BS
- Occupational Therapist
- Coral Springs, FL
National Provider Identifier
1073684932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 11858
- Practice address
- 12506 NW 57TH CT
Coral Springs, FL 33076-3469 - Phone
- (954) 345-5944
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | OT 11858 | FL | Primary |
Addresses
Primary practice location
12506 NW 57TH CT
Coral Springs, FL 33076-3469
Mailing address
12506 NW 57TH CT
Coral Springs, FL 33076-3469
Phone (954) 345-5944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8909482 | Medicaid | FL |
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 11858 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073684932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12506 NW 57TH CT",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330763469",
"telephone_number": "954-345-5944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12506 NW 57TH CT",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330763469",
"telephone_number": "954-345-5944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELAMED",
"first_name": "MIRYAN",
"middle_name": "ELENA",
"credential": "BS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 11858",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8909482",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coral Springs, FL
- Jessica Mehsikomer, PTA
- Meier Orthodontics Coral Springs PLLC (Children's Dentistry of Coral Springs)
- Lauren Meir
- Terri Meister, M.S., CCC-SLP
- Desiree Mejia, RN IBCLC
- Melanie McMillion, PA
- Melissa Harrison, LLC
- Melissa Jurado DDS PA (Paramount Smile)
- Menchel and Menchel DMD PA
- Harold F. Menchel, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.