Individual provider Active NPI

Melissa J Hoerdemann, MS, OTR/L

  • Occupational Therapist
  • Conshohocken, PA
National Provider Identifier
1346366176
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC010402 Issued in PA
Practice address
1200 River Rd
Conshohocken, PA 19428-2442
Phone
(215) 483-2461
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC010402 PA Primary

Addresses

Primary practice location

1200 River Rd
Conshohocken, PA 19428-2442

Mailing address

1558 Clearview Ave
Blue Bell, PA 19422-3612
Phone (484) 366-9077

Other names 1

  • Melissa J Gatlin Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OC010402PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aim Academy Past Accepting new patients
Aim Academy Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1346366176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 CLEARVIEW AVE",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194223612",
            "telephone_number": "484-366-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 RIVER RD",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282442",
            "telephone_number": "215-483-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOERDEMANN",
        "first_name": "MELISSA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC010402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "GATLIN",
            "middle_name": "J",
            "credential": "MS/OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Conshohocken, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.