Melissa Bautista

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

005196 Issued in CT

Practice address

469 W Main St
Branford, CT 06405-3400

Phone

(203) 315-6784

NPI assigned

Jul 10, 2019

Last updated

Jul 10, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1184276115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 JACKSON ST",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011211",
            "telephone_number": "203-751-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 W MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053400",
            "telephone_number": "203-315-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "005196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Barbarotta, APRN
• Christofer M Barbieri
• Michael Andrew Baron, DMD
• Kenneth Barshop, M.D.
• Andrew Michael Batick, DME SUPPLIER
• John M. Beiner, M.D.
• Kellie Belledonne, PT
• Susan E Bender, M.S.W.
• Andrea Benko, D.C.
• Sasha Bennett, FNP

• Occupational Therapist in Branford, CT
• Providers in Branford, CT by specialty
• Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.