Melissa Lee Delatorre, MS, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

46TR00526900 Issued in NJ

Practice address

644 Lincoln Blvd
Westwood, NJ 07675-3431

Phone

(201) 264-6264

NPI assigned

Nov 9, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Melissa Lee Larsen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1417499203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 LINCOLN BLVD",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753431",
            "telephone_number": "201-264-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 LINCOLN BLVD",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753431",
            "telephone_number": "201-264-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELATORRE",
        "first_name": "MELISSA",
        "middle_name": "LEE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "NJ",
            "license": "46TR00526900",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NJ",
            "license": "46TR00526900",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NJ",
            "license": "46TR00526900",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00526900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "LARSEN",
            "middle_name": "LEE",
            "credential": "MS, OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michelle Davidoff, IBCLC
• Devon E Davis, PT, DPT
• Tia Davis, L.C.S.W.
• Larissa De Araujo Fortunato
• Linda Diane Paulette De Luca, DDS
• Elizabeth Delrosario, M.D.
• Nicholas C Derobertis, DMD
• Diabetes Management Services, LLC
• Maria Isabel Diaz Castro
• Paul M Dicker, MD

• Pediatric Occupational Therapist in Westwood, NJ
• Providers in Westwood, NJ by specialty
• Pediatric Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.