Active NPI
Melissa Marie Callahan, MS, OTR/L
- Pediatric Occupational Therapist
- Philadelphia, PA
National Provider Identifier
1083866693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 006665-1
- Practice address
- 146 W Laurel St Apt 102
Philadelphia, PA 19123-2347 - Phone
- (917) 796-5595
- NPI assigned
- Oct 14, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Feeding, Eating & Swallowing Occupational Therapist | 225XF0002X | 006665-1 | NY | |
| Pediatric Occupational Therapist | 225XP0200X | 006665-1 | NY | Primary |
Addresses
Primary practice location
146 W Laurel St Apt 102
Philadelphia, PA 19123-2347
Mailing address
146 W Laurel St Apt 102
Philadelphia, PA 19123-2347
Phone (917) 796-5595
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006665-1 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611446400000",
"number": "1083866693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 W LAUREL ST APT 102",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191232347",
"telephone_number": "917-796-5595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 W LAUREL ST APT 102",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191232347",
"telephone_number": "917-796-5595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "MELISSA",
"middle_name": "MARIE",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-14",
"last_updated": "2021-01-24",
"certification_date": "2021-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225XF0002X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Feeding, Eating & Swallowing",
"state": "NY",
"license": "006665-1",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "006665-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.