Individual provider Active NPI

Melanie Ellen Zaniewski

  • Occupational Therapist
  • Barneveld, NY
National Provider Identifier
1376906404
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
003269-1 Issued in NY
Practice address
10708 N Gage Rd
Barneveld, NY 13304-2527
Phone
(315) 896-2654
Fax
(315) 896-2717
NPI assigned
Apr 5, 2016
Last updated
Apr 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 003269-1 NY Primary
Health Maintenance Organization 302R00000X 003269-1 NY

Addresses

Primary practice location

10708 N Gage Rd
Barneveld, NY 13304-2527

Mailing address

10708 N Gage Rd
Barneveld, NY 13304-2527
Phone (315) 896-2654

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
003269-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1376906404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10708 N GAGE RD",
            "city": "BARNEVELD",
            "state": "NY",
            "postal_code": "133042527",
            "telephone_number": "315-896-2654",
            "fax_number": "315-896-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10708 N GAGE RD",
            "city": "BARNEVELD",
            "state": "NY",
            "postal_code": "133042527",
            "telephone_number": "315-896-2654",
            "fax_number": "315-896-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANIEWSKI",
        "first_name": "MELANIE",
        "middle_name": "ELLEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "003269-1",
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "003269-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barneveld, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.