Active NPI
Melissa Darlene McKaig, OTR/L
- Occupational Therapist
- Edwardsville, IL
National Provider Identifier
1205033735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2004022512
- Practice address
- 708 Saint Louis St
Edwardsville, IL 62025-1427 - Phone
- (618) 656-1182
- NPI assigned
- Jun 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 2004022512 | MO | |
| Occupational Therapist | 225X00000X | 2004022512 | MO | Primary |
Addresses
Primary practice location
708 Saint Louis St
Edwardsville, IL 62025-1427
Mailing address
7836 Sun Ridge CT
Edwardsville, IL 62025-6464
Phone (314) 650-7005
Other practice location 1
708 Saint Louis St
Edwardsville, IL 62025-1427
Phone (618) 656-1182
Other practice location 2
11786 Westline Industrial Dr
Saint Louis, MO 63146-3402
Phone (314) 983-9230
Other names 1
- Melissa Darlene Hoppe
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edwardsville Cusd7 | 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.
-
- Local Education Agency (LEA)
- Edwardsville, IL
- NPI 1346469103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1205033735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7836 SUN RIDGE CT",
"city": "EDWARDSVILLE",
"state": "IL",
"postal_code": "620256464",
"telephone_number": "314-650-7005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 SAINT LOUIS ST",
"city": "EDWARDSVILLE",
"state": "IL",
"postal_code": "620251427",
"telephone_number": "618-656-1182"
}
],
"practiceLocations": [
{
"address_1": "708 Saint Louis St",
"address_purpose": "LOCATION",
"city": "Edwardsville",
"state": "IL",
"postal_code": "620251427",
"country_code": "US",
"telephone_number": "618-656-1182",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11786 Westline Industrial Dr",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631463402",
"country_code": "US",
"telephone_number": "314-983-9230",
"fax_number": "314-983-9235",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKAIG",
"first_name": "MELISSA",
"middle_name": "DARLENE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-28",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MO",
"license": "2004022512",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2004022512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "HOPPE",
"middle_name": "DARLENE",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Edwardsville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.