Active NPI
Melanie Mills Maxwell, MSOT,OTR/L
- Pediatric Occupational Therapist
- Mount Pleasant, SC
National Provider Identifier
1225054752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 1983
- Practice address
- 3415 Toomer Kiln Cir
Mount Pleasant, SC 29466-9063 - Phone
- (843) 224-8979
- NPI assigned
- Jul 15, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 1983 | SC | Primary |
Addresses
Primary practice location
3415 Toomer Kiln Cir
Mount Pleasant, SC 29466-9063
Mailing address
3415 Toomer Kiln Cir
Mount Pleasant, SC 29466-9063
Phone (843) 881-2302
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 |
|---|---|---|---|
| 1983 | SC | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Right Start,LLC | Pediatrics | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225054752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3415 TOOMER KILN CIR",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294669063",
"telephone_number": "843-881-2302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 TOOMER KILN CIR",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294669063",
"telephone_number": "843-224-8979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "MELANIE",
"middle_name": "MILLS",
"name_prefix": "Mrs.",
"credential": "MSOT,OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "SC",
"license": "1983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
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.