Individual provider Active NPI

Melissa Hough, OTR/L

  • Pediatric Occupational Therapist
  • Louisville, KY
National Provider Identifier
1447595707
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
132627 Issued in KY
Practice address
3907 Altawood CT
Louisville, KY 40245-1926
Phone
(502) 457-5772
NPI assigned
Nov 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X R1137 KY
Pediatric Occupational Therapist 225XP0200X 132627 KY Primary

Addresses

Primary practice location

3907 Altawood CT
Louisville, KY 40245-1926

Mailing address

3907 Altawood CT
Louisville, KY 40245-1926
Phone (502) 457-5772

Other practice location 1

13010 Eastgate Park Way Ste 101
Louisville, KY 40223-3984
Phone (502) 244-1210

Other practice location 2

11802 Brinley Ave
Suite 100
Louisville, KY 40243-1089
Phone (502) 244-1210

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
132627KYMDPediatric Occupational Therapist
R1137KYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Therapy Center, PSC Current Accepting new patients

Locations

11802 Brinley Ave
Ste 100
Louisville, KY 40243
Phone (502) 244-1210

13010 Eastgate Park Way
Ste 101
Louisville, KY 40223
Phone (502) 244-1210

Organizations & group practices 1

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": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1447595707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 ALTAWOOD CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402451926",
            "telephone_number": "502-457-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 ALTAWOOD CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402451926",
            "telephone_number": "502-457-5772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13010 Eastgate Park Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402233984",
            "country_code": "US",
            "telephone_number": "502-244-1210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11802 Brinley Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402431089",
            "country_code": "US",
            "telephone_number": "502-244-1210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUGH",
        "first_name": "MELISSA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-27",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "KY",
            "license": "R1137",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "KY",
            "license": "132627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.