Active NPI
Melissa Graham, OT
- Occupational Therapist
- Pensacola, FL
National Provider Identifier
1093035669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTT 14169
- Practice address
- 1108 Airport Blvd Ste a
Pensacola, FL 32504-8623 - Phone
- (850) 471-1005
- NPI assigned
- Jun 7, 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 | OTT 14169 | FL | Primary |
Addresses
Primary practice location
1108 Airport Blvd Ste a
Pensacola, FL 32504-8623
Mailing address
1108 Airport Blvd Ste a
Pensacola, FL 32504-8623
Phone (850) 471-1005
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 |
|---|---|---|---|
| OTT 14169 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275868800000",
"number": "1093035669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 AIRPORT BLVD STE A",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048623",
"telephone_number": "850-471-1005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 AIRPORT BLVD STE A",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048623",
"telephone_number": "850-471-1005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "MELISSA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-07",
"last_updated": "2010-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OTT 14169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.