Melissa Christie Petty, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

003468 Issued in MO

Practice address

320 Ichord Ave
Suite F
Waynesville, MO 65583-3600

Phone

(573) 881-1418

Fax

(573) 774-2487

NPI assigned

Jan 26, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Melissa Christie Petty Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rehab Solutions,LLC

  • Physical Therapist
  • Jefferson Cty, MO
  • NPI 1750553913
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1275805905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 ICHORD AVE",
            "address_2": "SUITE F",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655833600",
            "telephone_number": "573-881-1418",
            "fax_number": "573-774-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 ICHORD AVE",
            "address_2": "SUITE F",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655833600",
            "telephone_number": "573-881-1418",
            "fax_number": "573-774-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTY",
        "first_name": "MELISSA",
        "middle_name": "CHRISTIE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "003468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "PETTY",
            "middle_name": "CHRISTIE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Melanie Pahuyo, RN-BSN
• Shelly Lynn Patterson, COTA
• Janina Frances Pawlak
• Neftali Perez, LPC
• Petsburgh Therapy Services LLC
• Phelps County Regional Medical Center
• Johnna Pitts, 2017002215
• Tonya Powell, LPC
• Melodie Prater, LPC
• Billie Pratt, SLP

• Occupational Therapist in Waynesville, MO
• Providers in Waynesville, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.