Active NPI
Melissa Walters Pierie, OTRL, CHT
- Occupational Therapist
- Shelbyville, KY
National Provider Identifier
1225252182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- R0497
- Practice address
- 90 Howard Dr
Shelbyville, KY 40065 - Phone
- (502) 633-1007
- NPI assigned
- Apr 12, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | RO497 | KY | |
| Occupational Therapist | 225X00000X | R0497 | KY | Primary |
Addresses
Primary practice location
90 Howard Dr
Shelbyville, KY 40065
Mailing address
90 Howard Dr
Shelbyville, KY 40065-8138
Phone (502) 633-1007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5230080001 | Other | KY | NSC# |
Other names 1
- Mrs. Melissa Ann Walters
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 |
|---|---|---|---|
| RO497 | KY | MD | Specialist |
| R0497 | KY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Occupational Kinetics | Past | Accepting new patients | |
| Safeworks Healthcare | Occupational Therapist | 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.
-
- Chiropractor
- Louisville, KY
- NPI 1881622934
-
- Occupational Therapist
- Louisville, KY
- NPI 1972519395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528675200000",
"number": "1225252182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 HOWARD DR",
"city": "SHELBYVILLE",
"state": "KY",
"postal_code": "400658138",
"telephone_number": "502-633-1007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 HOWARD DR",
"city": "SHELBYVILLE",
"state": "KY",
"postal_code": "40065",
"telephone_number": "502-633-1007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERIE",
"first_name": "MELISSA",
"middle_name": "WALTERS",
"name_prefix": "Mrs.",
"credential": "OTRL, CHT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2018-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KY",
"license": "RO497",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "R0497",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NSC#",
"identifier": "5230080001",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "WALTERS",
"middle_name": "ANN",
"prefix": "MRS.",
"credential": "OTRL,CHT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Shelbyville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.