Individual provider Active NPI

Melody Miles

  • Occupational Therapist
  • Amory, MS
National Provider Identifier
1174908305
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT3129 Issued in MS
Practice address
1111 Earl Frye Blvd
Amory, MS 38821-5516
Phone
(662) 257-4048
Fax
(662) 257-4080
NPI assigned
Jul 29, 2015
Last updated
Oct 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT3129 MS Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

1111 Earl Frye Blvd
Amory, MS 38821-5516

Mailing address

4 Annabelle CV
Amory, MS 38821-2625
Phone (662) 315-6679

Other practice location 1

4 Annabelle CV
Amory, MS 38821-2625
Phone (662) 315-6679

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT3129MSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Mississippi LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1174908305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ANNABELLE CV",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388212625",
            "telephone_number": "662-315-6679",
            "fax_number": "662-256-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 EARL FRYE BLVD",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215516",
            "telephone_number": "662-257-4048",
            "fax_number": "662-257-4080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Annabelle CV",
            "address_purpose": "LOCATION",
            "city": "Amory",
            "state": "MS",
            "postal_code": "388212625",
            "country_code": "US",
            "telephone_number": "662-315-6679",
            "fax_number": "662-256-8314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILES",
        "first_name": "MELODY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT3129",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amory, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.