Melanie Diane Harris, OTR L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

R2663 Issued in KY

Practice address

3600 Cumberland Ave
Middlesboro, KY 40965-2614

Phone

(606) 242-1427

Fax

(606) 242-1421

NPI assigned

Nov 22, 2005

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

• Miss Melanie Diane Woodward Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1124001201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 CUMBERLAND AVE",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409652614",
            "telephone_number": "606-242-1427",
            "fax_number": "606-242-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 CUMBERLAND AVE",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409652614",
            "telephone_number": "606-242-1427",
            "fax_number": "606-242-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MELANIE",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "OTR L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R2663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "WOODWARD",
            "middle_name": "DIANE",
            "prefix": "MISS",
            "credential": "OTR L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Audra Anissa Hall, P.T.
• Chris Harris, OTR/L
• Rebekah Harris, LPCA
• Abul Hashem, MD
• Lee Ann Hopson, RPH
• Maria A Hortillosa, MD
• Chelsie Dian Hoskins

• All providers in Middlesboro, KY
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.