Ivan Dario Melnikov, OT/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

13177 Issued in NC

Practice address

1611 NW 12TH Avenue
Occupational Tharapy Department
Miami, FL 33136-1096

Phone

(305) 585-7224

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1437239266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CORNERSTONE DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198453",
            "telephone_number": "919-460-1921",
            "fax_number": "919-460-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVENUE",
            "address_2": "OCCUPATIONAL THARAPY DEPARTMENT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361096",
            "telephone_number": "305-585-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELNIKOV",
        "first_name": "IVAN",
        "middle_name": "DARIO",
        "name_prefix": "Mr.",
        "credential": "OT/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "13177",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT8407",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enrique Mella Sr., MD
• Maria Teresa Mella, MD
• Monica Mella
• Claudia Mellado
• Steven Melnick, MD
• Melo Behavioral Services Inc
• Manuel Alejandro Melo Bicchi, MD
• Ranses Melo Pacheco
• Miguel Alberto Melo-Bicchi, MD
• Evelyn Melo, LMHC

• Occupational Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.