Individual provider Active NPI

Melissa B Neely, OT

  • Occupational Therapist
  • Mechanicsburg, PA
National Provider Identifier
1225060866
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC003400L Issued in PA
Practice address
5108 E Trindle Rd
Suite 200
Mechanicsburg, PA 17050-3300
Phone
(717) 790-9920
Fax
(717) 790-9923
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC003400L PA Primary

Addresses

Primary practice location

5108 E Trindle Rd
Suite 200
Mechanicsburg, PA 17050-3300

Mailing address

5300 Derry Street
2ND Floor
Harrisburg, PA 17111-3576
Phone (717) 839-2110

Other identifiers 1

IdentifierTypeStateIssuer
OC003400LOtherPALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110831000655 PA Practitioner - Occupational Therapist in Private Practice 1951571892 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Institute LLC Occupational Therapist CurrentSince Sep 5, 2011 Accepting new patients
Drayer Physical Therapy Institute LLC Occupational Therapist Current Accepting new patients
Drayer Physical Therapy Institute LLC Occupational Therapist CurrentSince Sep 5, 2011 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

3 Jennifer Ct
Ste A
Carlisle, PA 17015
Phone (717) 243-0271

8205 Presidents Dr
#2
Hummelstown, PA 17036
Phone (717) 803-2560

5108 E Trindle Rd
Ste 200
Mechanicsburg, PA 17050
Phone (717) 790-9920

Organizations & group practices 3

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1225060866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 DERRY STREET",
            "address_2": "2ND FLOOR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171113576",
            "telephone_number": "717-839-2110",
            "fax_number": "717-565-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 E TRINDLE RD",
            "address_2": "SUITE 200",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503300",
            "telephone_number": "717-790-9920",
            "fax_number": "717-790-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELY",
        "first_name": "MELISSA",
        "middle_name": "B",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC003400L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OC003400L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.