Melissa Michelle Gay-Roberts, COTA

Individual provider Active NPI Occupational Therapy Assistant · Haysville, KS

NPI 1093201063 · NPPES record last updated Jul 2, 2018

Key facts

NPI
1093201063
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
18-00906 (KS)
Practice address
215 N Lamar Ave
Haysville, KS 67060-1266
Phone
(316) 524-3211
NPI assigned
Jul 2, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
18-00906KSMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 18-00906 KS Yes

Addresses

Primary practice location

215 N Lamar Ave
Haysville, KS 67060-1266

Mailing address

200 S 3Rd St
Clearwater, KS 67026-9460
Phone (316) 847-5036

Other practice location 1

777 N McLean Blvd
Wichita, KS 67203-4980
Phone (316) 942-7000

Other practice location 2

3636 N Ridge Rd
Wichita, KS 67205-1213
Phone (316) 462-3636

Other practice location 3

6550 E 45th St N
Bel Aire, KS 67226-8813
Phone (316) 771-6550

Other providers in Haysville, KS

All providers in Haysville, KS · Occupational Therapy Assistant in Kansas

Sources for this page

Verify at the official NPI Registry.