Active NPI
Melanie Rose Palen NG, OTR
- Occupational Therapist
- Spring, TX
National Provider Identifier
1265818439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 116565
- Practice address
- 21801 Northcrest Dr
Apt 1822
Spring, TX 77388-4063 - Phone
- (551) 208-7315
- NPI assigned
- Aug 10, 2015
- Last updated
- Aug 10, 2015
- 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 | 116565 | TX | Primary |
Addresses
Primary practice location
21801 Northcrest Dr
Apt 1822
Spring, TX 77388-4063
Mailing address
21801 Northcrest Dr
Apt 1822
Spring, TX 77388-4063
Phone (551) 208-7315
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116565 | Other | TX | OCCUPATIONAL THERAPIST LICENSE |
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 |
|---|---|---|---|
| 116565 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439164800000",
"number": "1265818439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21801 NORTHCREST DR",
"address_2": "APT 1822",
"city": "SPRING",
"state": "TX",
"postal_code": "773884063",
"telephone_number": "551-208-7315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21801 NORTHCREST DR",
"address_2": "APT 1822",
"city": "SPRING",
"state": "TX",
"postal_code": "773884063",
"telephone_number": "551-208-7315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NG",
"first_name": "MELANIE ROSE",
"middle_name": "PALEN",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-10",
"last_updated": "2015-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "116565",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPIST LICENSE",
"identifier": "116565",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.