Individual provider Active NPI

Melissa Darlene McKaig, OTR/L

  • Occupational Therapist
  • Edwardsville, IL
National Provider Identifier
1205033735
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2004022512 Issued in MO
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

Updated by the provider on Oct 3, 2022

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 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 Former name

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

OrganizationSpecialtyStatusNew patients
Edwardsville Cusd7 PastSince Aug 28, 2021 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": "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.

Verify at the official NPI Registry.