Active NPI
Melissa Root, OTR/L
- Occupational Therapist
- Fall River, MA
National Provider Identifier
1376182386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 653992
- Practice address
- 4 S Main St
Fall River, MA 02721-5327 - Phone
- (508) 904-6750
- NPI assigned
- Dec 23, 2019
- Last updated
- Dec 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 653992 | MA | Primary |
Addresses
Primary practice location
4 S Main St
Fall River, MA 02721-5327
Mailing address
86 Aucoot Rd
Mattapoisett, MA 02739-2429
Phone (774) 271-0183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 653992 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visions of Independence, LLC | Single Specialty | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577059200000",
"number": "1376182386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 AUCOOT RD",
"city": "MATTAPOISETT",
"state": "MA",
"postal_code": "027392429",
"telephone_number": "774-271-0183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 S MAIN ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027215327",
"telephone_number": "508-904-6750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROOT",
"first_name": "MELISSA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-23",
"last_updated": "2019-12-23",
"certification_date": "2019-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "653992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.