Individual provider Active NPI

Melissa Pratt, OTR/L

  • Occupational Therapist
  • Conneautville, PA
National Provider Identifier
1386015196
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC011108 Issued in PA
Practice address
9108 State Highway 198
Conneautville, PA 16406-2646
Phone
(814) 587-2012
NPI assigned
Oct 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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 OC011108 PA Primary

Addresses

Primary practice location

9108 State Highway 198
Conneautville, PA 16406-2646

Mailing address

9108 State Highway 198
Conneautville, PA 16406-2646
Phone (814) 587-2012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151214000751 PA Practitioner - Occupational Therapist in Private Practice 9436450665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
R and B Bennett Enterprises, IncGroup PAC ID 1557529104, 2 clinicians

Practice addresses (Care Compare)

4202 Peach St
Erie, PA 16509-1458
Phone (814) 833-2301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC011108PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
R & B Bennett Enterprises, Inc CurrentSince Oct 4, 2021 Accepting new patients

Locations

4202 Peach St
Erie, PA 16509
Phone (814) 833-2301

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1386015196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9108 STATE HIGHWAY 198",
            "city": "CONNEAUTVILLE",
            "state": "PA",
            "postal_code": "164062646",
            "telephone_number": "814-587-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9108 STATE HIGHWAY 198",
            "city": "CONNEAUTVILLE",
            "state": "PA",
            "postal_code": "164062646",
            "telephone_number": "814-587-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "MELISSA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC011108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conneautville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.