Individual provider Active NPI

Melissa Pozza Gillis, OT

  • Occupational Therapist
  • Mechanicsburg, PA
National Provider Identifier
1407081870
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC001325L Issued in PA
Practice address
11 Flowers Dr Ste 101
Mechanicsburg, PA 17050-1714
Phone
(717) 691-8300
Fax
(717) 691-8399
NPI assigned
May 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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 OC001325L PA Primary

Addresses

Primary practice location

11 Flowers Dr Ste 101
Mechanicsburg, PA 17050-1714

Mailing address

118 Washington St
Harrisburg, PA 17104-1677

Other practice location 1

4300 Londonderry Rd
Harrisburg, PA 17109-5317
Phone (717) 657-7342

Other names 1

  • Melissa Pozza Kutz Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210111000711 PA Practitioner - Occupational Therapist in Private Practice 1658282066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Plus Pelvic Therapy LLCGroup PAC ID 2668626912, 4 clinicians

Practice addresses (Care Compare)

11 Flowers Dr
Suite 101
Mechanicsburg, PA 17050-1714
Phone (717) 691-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Core Plus Pelvic Therapy LLC CurrentSince Dec 22, 2020 Accepting new patients
Encompass Health Rehabilitation Hospital of Mechanicsburg, LLC PastSince Jan 1, 1999 Accepting new patients

Locations

11 Flowers Dr
Ste 101
Mechanicsburg, PA 17050
Phone (717) 571-1050

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": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1407081870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 WASHINGTON ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FLOWERS DR STE 101",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170501714",
            "telephone_number": "717-691-8300",
            "fax_number": "717-691-8399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Londonderry Rd",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171095317",
            "country_code": "US",
            "telephone_number": "717-657-7342",
            "fax_number": "717-920-4367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLIS",
        "first_name": "MELISSA",
        "middle_name": "POZZA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-28",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC001325L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "KUTZ",
            "middle_name": "POZZA",
            "credential": "OT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.