Melissa Marie Cassidy, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

48.004682 Issued in CT

Practice address

175 Sherman Ave
New Haven, CT 06511-4357

Phone

(203) 789-3271

NPI assigned

Aug 19, 2020

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

• Melissa Marie Hajkaluk Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 19, 2020.

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1194337279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 NICHOLS AVE",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068251927",
            "telephone_number": "818-602-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 SHERMAN AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114357",
            "telephone_number": "203-789-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "48.004682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "HAJKALUK",
            "middle_name": "MARIE",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Case
• Marianne More Casilla-Lennon, MD
• James Casola, PA-C
• Sarah Casolo
• Cole Tetsuo Cassady, MD
• Nicole Casson, MD
• Lisa Ann Castagnola, LCSW
• Paola Andrea Castellanos, D.D.S
• Alexandra Castillo
• Jean Castillo, MSW

• All providers in New Haven, CT
• Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.

Verify at the official NPI Registry.