Active NPI
Melissa Kay Hanson, LOTR
- Occupational Therapist
- Mansfield, LA
National Provider Identifier
1114558665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 321847
- Practice address
- 2509 Harts Bluff Rd
Mansfield, LA 71052-6253 - Phone
- (936) 572-7117
- NPI assigned
- Feb 3, 2020
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 120495 | TX | |
| Occupational Therapist | 225X00000X | 321847 | LA | Primary |
Addresses
Primary practice location
2509 Harts Bluff Rd
Mansfield, LA 71052-6253
Mailing address
2509 Harts Bluff Rd
Mansfield, LA 71052-6253
Phone (936) 572-7117
Other names 1
- Miss Melissa Kay Jones
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 |
|---|---|---|---|
| 321847 | LA | MD | Occupational Therapist |
| 120495 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1114558665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2509 HARTS BLUFF RD",
"city": "MANSFIELD",
"state": "LA",
"postal_code": "710526253",
"telephone_number": "936-572-7117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2509 HARTS BLUFF RD",
"city": "MANSFIELD",
"state": "LA",
"postal_code": "710526253",
"telephone_number": "936-572-7117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "MELISSA",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "LOTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-03",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "120495",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "LA",
"license": "321847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "JONES",
"middle_name": "KAY",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mansfield, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.