Melanie Stark, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

32001306A Issued in IN

Practice address

3625 Saint Joseph Rd
New Albany, IN 47150-9745

Phone

(812) 948-0670

NPI assigned

Jul 21, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1417112384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 SAINT JOSEPH RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 SAINT JOSEPH RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509745",
            "telephone_number": "812-948-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "MELANIE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "32001306A",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KY",
            "license": "KY-A3484",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Renae Stamper, CSW, LSW
• Katharine Mona Standiford, LMHC
• Sonja Stang, LSW
• David E Stapp, MD
• Star Physical Therapy, LP
• April Louise Starks
• Diane Elizabeth Stawar, M.A.
• Amanda Marie Stemler, ARNP
• Wilson Stemm, D.M.D.
• Makenzi Rayne Stephens

• Occupational Therapy Assistant in New Albany, IN
• Providers in New Albany, IN by specialty
• Occupational Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.