Active NPI
Melinda Kopecky
- Occupational Therapist
- Sebastopol, CA
National Provider Identifier
1083936546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7252
- Practice address
- 4740 Vine Hill Rd
Sebastopol, CA 95472-2237 - Phone
- (650) 464-1426
- NPI assigned
- Feb 24, 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 | 7252 | CA | Primary |
Addresses
Primary practice location
4740 Vine Hill Rd
Sebastopol, CA 95472-2237
Mailing address
4740 Vine Hill Rd
Sebastopol, CA 95472-2237
Phone (650) 464-1426
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 |
|---|---|---|---|
| 7252 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266969600000",
"number": "1083936546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4740 VINE HILL RD",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954722237",
"telephone_number": "650-464-1426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4740 VINE HILL RD",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954722237",
"telephone_number": "650-464-1426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPECKY",
"first_name": "MELINDA",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-24",
"last_updated": "2010-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "7252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sebastopol, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.