Active NPI
Anne Reich Melendez, OTA
- Occupational Therapy Assistant
- Griswold, CT
National Provider Identifier
1215146121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 000978
- Practice address
- 97 Preston Rd
Griswold, CT 06351-2516 - Phone
- (860) 376-4438
- Fax
- (860) 376-8343
- NPI assigned
- May 21, 2007
- Last updated
- Jul 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 000978 | CT | Primary |
Addresses
Primary practice location
97 Preston Rd
Griswold, CT 06351-2516
Mailing address
4 June St
Dudley, MA 01571-5817
Phone (508) 949-1933
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000978 | CT | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215146121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 JUNE ST",
"city": "DUDLEY",
"state": "MA",
"postal_code": "015715817",
"telephone_number": "508-949-1933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 PRESTON RD",
"city": "GRISWOLD",
"state": "CT",
"postal_code": "063512516",
"telephone_number": "860-376-4438",
"fax_number": "860-376-8343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELENDEZ",
"first_name": "ANNE",
"middle_name": "REICH",
"credential": "OTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CT",
"license": "000978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Griswold, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.