Individual provider Active NPI

Anne P Colvin, OT

  • Occupational Therapist
  • Ruston, LA
National Provider Identifier
1245437334
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
Z10943 Issued in LA
Practice address
1923 Farmerville Hwy
Ruston, LA 71270-3007
Phone
(318) 255-9601
Fax
(318) 255-7971
NPI assigned
Jul 2, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 Z10943 LA Primary

Addresses

Primary practice location

1923 Farmerville Hwy
Ruston, LA 71270-3007

Mailing address

1923 Farmerville Hwy
Ruston, LA 71270-3007
Phone (318) 255-9601

Other identifiers 2

IdentifierTypeStateIssuer
G5096OtherLABCBS
1169234MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080513000764 LA Practitioner - Occupational Therapist in Private Practice 3476622754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Melanie Massey Physical Therapy IncGroup PAC ID 5890784342, 24 clinicians

Practice addresses (Care Compare)

107 Summer LN
West Monroe, LA 71291-3501
Phone (318) 396-1969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Z10943LAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Melanie Massey Physical Therapy Inc Occupational Therapist CurrentSince Mar 10, 2008 Accepting new patients
Lincoln Outpatient Therapy Services Past Accepting new patients
Melanie Massey Infant & Toddler LLC Occupational Therapist Past Accepting new patients

Locations

2309 S Service Rd W
Ruston, LA 71270
Phone (318) 232-1969

107 Summer Ln
West Monroe, LA 71291
Phone (318) 396-1969

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, 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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1245437334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 FARMERVILLE HWY",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703007",
            "telephone_number": "318-255-9601",
            "fax_number": "318-255-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 FARMERVILLE HWY",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703007",
            "telephone_number": "318-255-9601",
            "fax_number": "318-255-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLVIN",
        "first_name": "ANNE",
        "middle_name": "P",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "Z10943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G5096",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1169234",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.