Active NPI
Melanie D Ridgway, OTR/L
- Occupational Therapist
- Norman, OK
National Provider Identifier
1255426797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 728
- Practice address
- 2307 Parkland Way
Norman, OK 73069-6536 - Phone
- (405) 579-2457
- Fax
- (580) 248-2329
- NPI assigned
- Oct 3, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 728 | OK | Primary |
| Pediatric Occupational Therapist | 225XP0200X | 728 | OK |
Addresses
Primary practice location
2307 Parkland Way
Norman, OK 73069-6536
Mailing address
2307 Parkland Way
Norman, OK 73069-6536
Phone (405) 579-2457
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100639300B | Medicaid | OK | |
| 100639300C | Medicaid | OK |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212105600000",
"number": "1255426797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2307 PARKLAND WAY",
"city": "NORMAN",
"state": "OK",
"postal_code": "730696536",
"telephone_number": "405-579-2457",
"fax_number": "580-248-2329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2307 PARKLAND WAY",
"city": "NORMAN",
"state": "OK",
"postal_code": "730696536",
"telephone_number": "405-579-2457",
"fax_number": "580-248-2329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDGWAY",
"first_name": "MELANIE",
"middle_name": "D",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2008-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OK",
"license": "728",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "OK",
"license": "728",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100639300B",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100639300C",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.