Individual provider Active NPI

Melissa Spitznagel, OTR/L

  • Pediatric Occupational Therapist
  • Metairie, LA
National Provider Identifier
1174719785
Registry record updated Dec 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OTT.200528 Issued in LA
Practice address
4517 Lorino St
Metairie, LA 70006-2323
Phone
(504) 416-4815
Fax
(504) 910-0295
NPI assigned
Sep 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT 12783 FL
Pediatric Occupational Therapist 225XP0200X OTT.200528 LA Primary

Addresses

Primary practice location

4517 Lorino St
Metairie, LA 70006-2323

Mailing address

3720 Metairie CT
Metairie, LA 70002-1928
Phone (504) 416-4815

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

LicenseStateTypeSpecialty
OT 12783FLMDPediatric Occupational Therapist
OTT.200528LAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids in Motion Pediatric Occupational Therapy, LLC Pediatrics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356048000000",
    "number": "1174719785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 METAIRIE CT",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700021928",
            "telephone_number": "504-416-4815",
            "fax_number": "504-910-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4517 LORINO ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062323",
            "telephone_number": "504-416-4815",
            "fax_number": "504-910-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITZNAGEL",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2012-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT 12783",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "LA",
            "license": "OTT.200528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; 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.