Melody S Pan, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3119 Issued in AL

Practice address

2119 E South Blvd Ste 200
Montgomery, AL 36116-2496

Phone

(334) 613-9000

Fax

(334) 286-6312

NPI assigned

Jun 24, 2010

Last updated

Jun 24, 2010By 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)

Enrolled

State licenses

Practice roles

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.

• Neurology Neurodiagnostic Lab LLC

  • Neurology Physician
  • Pelham, AL
  • NPI 1417165127
  NPD (past)
• Orthopaedic Specialists of Alabama PC

  • Orthopaedic Surgery Physician
  • Birmingham, AL
  • NPI 1831133586
  NPD (past)
• Orthopaedic Specialists of Alabama, PC

  • Orthopaedic Surgery Physician
  • Talladega, AL
  • NPI 1275843492
  NPD (past)

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1205147204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 EAST SOUTH BLVD #200",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162496",
            "telephone_number": "334-613-9000",
            "fax_number": "334-286-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 E SOUTH BLVD STE 200",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162496",
            "telephone_number": "334-613-9000",
            "fax_number": "334-286-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAN",
        "first_name": "MELODY",
        "middle_name": "S",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "3119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ava Palmer
• Clemmie Palmer III, M.D.
• Edward Eaton Palmer Jr., MD
• Patricia Kay Palmer, CRNA
• Pamela L Strickland MD PC (Central Alabama Breast Care)
• Justin Alexander Parden, M.D.
• Kimberlyn Latrice Parham, MS, LPC
• Jennifer Christine Parish, RN
• Park Place Psychiatry, LLC
• Junmin Park

• Occupational Therapist in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Occupational Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.