Active NPI
Melissa Lynn Pica, OTR/L
- Occupational Therapist
- Moscow, PA
National Provider Identifier
1457584146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC007402L
- Practice address
- 675 Saint Marys Villa Rd
Moscow, PA 18444-9614 - Phone
- (570) 842-7621
- NPI assigned
- Aug 27, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC007402L | PA | Primary |
Addresses
Primary practice location
675 Saint Marys Villa Rd
Moscow, PA 18444-9614
Mailing address
1121 Frieda St
Dickson City, PA 18519-1304
Phone (570) 241-3536
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
| License | State | Type | Specialty |
|---|---|---|---|
| OC007402L | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251331200000",
"number": "1457584146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 FRIEDA ST",
"city": "DICKSON CITY",
"state": "PA",
"postal_code": "185191304",
"telephone_number": "570-241-3536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 SAINT MARYS VILLA RD",
"city": "MOSCOW",
"state": "PA",
"postal_code": "184449614",
"telephone_number": "570-842-7621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICA",
"first_name": "MELISSA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-27",
"last_updated": "2009-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC007402L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moscow, PA
- David John Nagurney, DDS
- Maria Nardone, DPT
- Zachary John Niemiec, PHARMD
- North Pocono School District
- Pharmacy Operations Inc (Medicine Shoppe)
- Stephen A Pokowicz, DC
- Maria Riordan, MSPT
- Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 00216)
- Rocco Diana DC, P.C. (Vital Link Chiropractic)
- Brenna Roche, M.S. CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.