Active NPI
Kara Patricia Melisurgo
- Occupational Therapist
- Seaford, DE
National Provider Identifier
1306407796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- U1-0012365
- Practice address
- 715 E King St
Seaford, DE 19973-3505 - Phone
- (302) 628-3000
- NPI assigned
- Jun 26, 2019
- Last updated
- Mar 29, 2022
- 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 | U1-0012365 | DE | Primary |
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
715 E King St
Seaford, DE 19973-3505
Mailing address
8840 Cypress Waters Blvd
Suite 300
Coppell, TX 75019
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 |
|---|---|---|---|
| U1-0012365 | DE | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648512000000",
"number": "1306407796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8840 CYPRESS WATERS BLVD",
"address_2": "SUITE 300",
"city": "COPPELL",
"state": "TX",
"postal_code": "75019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 E KING ST",
"city": "SEAFORD",
"state": "DE",
"postal_code": "199733505",
"telephone_number": "302-628-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELISURGO",
"first_name": "KARA",
"middle_name": "PATRICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-26",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "DE",
"license": "U1-0012365",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seaford, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.