Melissa Gottheim Wildt, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

9242 Issued in NC

Practice address

2147 Davie Ave
Gardens of Statesville
Statesville, NC 28625-9200

Phone

(704) 878-8689

NPI assigned

Jun 22, 2006

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

• Ms. Melissa Rachel Gottheim Former name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Therapeutics LTDGroup PAC ID 8921230137, 324 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Comprehensive Therapeutics LTD

  • Physical Therapist
  • Statesville, NC
  • NPI 1619575651
  Medicare reassignment Care Compare group NPD
• Comprehensive Therapeutics LTD

  • Physical Therapist
  • Lagrange, GA
  • NPI 1881458354
  NPD

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1093751455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 SULLIVAN TRL",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180407958",
            "telephone_number": "610-991-2034",
            "fax_number": "610-438-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2147 DAVIE AVE",
            "address_2": "GARDENS OF STATESVILLE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286259200",
            "telephone_number": "704-878-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDT",
        "first_name": "MELISSA",
        "middle_name": "GOTTHEIM",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2024-07-24",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "9242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "GOTTHEIM",
            "middle_name": "RACHEL",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karsyn Whitman, MS, DMD
• Sean Lane Whittaker, PT, DPT
• Jacquelyn Whren
• Lynn Nall Widener
• Donna R Wike, OD
• Jacob Wiles
• Margaret Jane Willhide, MD
• William J O'Neill
• Bre'Anna Nicole Williams, LCSW-A
• Hope Lynn Williams, LCMHC-A, LCAS-A

• Occupational Therapist in Statesville, NC
• Providers in Statesville, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.