Melissa D Severson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

229635 Issued in OR

Practice address

540 S Main St
Mount Angel, OR 97362-9540

Phone

(503) 845-2736

Fax

(503) 845-9229

NPI assigned

Jun 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa D Munter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Providence Silverton Rehab LLC

  • Physical Therapy Clinic/Center
  • Woodburn, OR
  • NPI 1619172780
  NPD (past)

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1073718003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 S MAIN ST",
            "city": "MOUNT ANGEL",
            "state": "OR",
            "postal_code": "973629540",
            "telephone_number": "503-845-2736",
            "fax_number": "503-845-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 S MAIN ST",
            "city": "MOUNT ANGEL",
            "state": "OR",
            "postal_code": "973629540",
            "telephone_number": "503-845-2736",
            "fax_number": "503-845-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERSON",
        "first_name": "MELISSA",
        "middle_name": "D",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "229635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "MUNTER",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Katherine Allyn Sprauer
• Staci Carrol Sprauer, LMT

• Occupational Therapist in Mount Angel, OR
• Providers in Mount Angel, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.