Individual provider Active NPI

Melissa Marie Pust, M.S. OTR/L

  • Occupational Therapist
  • Mount Pleasant, WI
National Provider Identifier
1427467877
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5424-26 Issued in WI
Practice address
8600 Corporate Dr
Mount Pleasant, WI 53406-3777
Phone
(262) 884-8097
NPI assigned
Aug 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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 0119006181 VA
Occupational Therapist 225X00000X 5424-26 WI Primary

Addresses

Primary practice location

8600 Corporate Dr
Mount Pleasant, WI 53406-3777

Mailing address

8600 Corporate Dr
Mount Pleasant, WI 53406-3777
Phone (262) 884-8097

Other names 1

  • Miss Melissa Marie Bayley Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0119006181VAMDOccupational Therapist
5424-26WIMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1427467877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 CORPORATE DR",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534063777",
            "telephone_number": "262-884-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 CORPORATE DR",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534063777",
            "telephone_number": "262-884-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUST",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S. OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-11",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119006181",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "5424-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "BAYLEY",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "M.S. OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Pleasant, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.