Active NPI
Melissa Vandertop
- Occupational Therapist
- Burbank, WA
National Provider Identifier
1235478140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 00002397
- Practice address
- 386 Tuttle LN
Burbank, WA 99323-9717 - Phone
- (509) 302-1459
- NPI assigned
- Feb 13, 2013
- Last updated
- Feb 13, 2013
- 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 Therapist | 225X00000X | OT 00002397 | WA | Primary |
Addresses
Primary practice location
386 Tuttle LN
Burbank, WA 99323-9717
Mailing address
1578 Amber Ave
West Richland, WA 99353-9712
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 |
|---|---|---|---|
| OT 00002397 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Options LLC | Occupational Therapist | 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.
-
- Occupational Therapist
- Burbank, WA
- NPI 1679001580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360713600000",
"number": "1235478140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1578 AMBER AVE",
"city": "WEST RICHLAND",
"state": "WA",
"postal_code": "993539712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "386 TUTTLE LN",
"city": "BURBANK",
"state": "WA",
"postal_code": "993239717",
"telephone_number": "509-302-1459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERTOP",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-13",
"last_updated": "2013-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT 00002397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burbank, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.