Active NPI
Courtney Melvin
- Occupational Therapist
- Huntington, WV
National Provider Identifier
1205252459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1700
- Practice address
- 1402 Commerce Ave
Huntington, WV 25701-1611 - Phone
- (304) 412-4533
- Fax
- (304) 398-7043
- NPI assigned
- Mar 12, 2014
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 1700 | WV | |
| Occupational Therapist | 225X00000X | 1700 | WV | Primary |
Addresses
Primary practice location
1402 Commerce Ave
Huntington, WV 25701-1611
Mailing address
1402 Commerce Ave
Huntington, WV 25701-1611
Phone (304) 412-4533
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1700 | WV | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Developmental Therapy Center, Inc | Past | Accepting new patients | |
| Developmental Therapy Center, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Huntington, WV
- NPI 1073828158
-
- Public Health or Welfare Agency
- Huntington, WV
- NPI 1801040746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633651200000",
"number": "1205252459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 COMMERCE AVE",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257011611",
"telephone_number": "304-412-4533",
"fax_number": "304-398-7043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 COMMERCE AVE",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257011611",
"telephone_number": "304-412-4533",
"fax_number": "304-398-7043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELVIN",
"first_name": "COURTNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-12",
"last_updated": "2021-10-08",
"certification_date": "2021-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WV",
"license": "1700",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WV",
"license": "1700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.