Melissa Chavers McCoy, OTR L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT 10229 Issued in FL

Practice address

4624 Summerdale Blvd
Pace, FL 32571-1368

Phone

(850) 994-3456

Fax

(850) 994-3476

NPI assigned

Nov 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Melissa Anne Chavers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kids Talk Place LLC

  • Clinic/Center
  • Crestview, FL
  • NPI 1932861234
  NPD
• Kids Talk Place LLC

  • Clinic/Center
  • Pace, FL
  • NPI 1679590632
  NPD (past)
• Little Hands Little Feet, LLC

  • Physical Therapy Clinic/Center
  • Fort Walton Beach, FL
  • NPI 1477563138
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1336214949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 SUMMERDALE BLVD",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325711368",
            "telephone_number": "850-994-3456",
            "fax_number": "850-994-3476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 SUMMERDALE BLVD",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325711368",
            "telephone_number": "850-994-3456",
            "fax_number": "850-994-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "MELISSA",
        "middle_name": "CHAVERS",
        "credential": "OTR L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 10229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886918900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "CHAVERS",
            "middle_name": "ANNE",
            "credential": "OTR L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nikki Martin, M.S. CCC-SLP
• Kimberly Marie Mauk, PTA
• Laura Belle Maupin, ARNP
• Dewey Scott Mayberry, M.A. LMHC
• Amanda Lane McBride, ARNP
• Ashley Jones McDaniel, LCSW
• Riley McDaniel, ARNP
• Briggs Alan McGinnis Jr., DMD
• Tiffany McGrath
• Tanice M McLeary, PHARMD

• Occupational Therapist in Pace, FL
• Providers in Pace, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.