Melyssa Johnson, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

8419 Issued in CA

Practice address

1878 Avenida Aragon
Oceanside, CA 92056-6203

Phone

(419) 566-1465

NPI assigned

Apr 13, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Legacy Healthcare Services Inc

  • Physical Therapist
  • West Chester, OH
  • NPI 1174153266

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Outpatient at Home LLC

  • Physical Therapy Clinic/Center
  • Worthington, OH
  • NPI 1629671003
  Medicare reassignment NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Occupational Therapist

  NPD
• Columbus Physical Therapy, LLC

  • Physical Therapist
  • Dublin, OH
  • NPI 1760827232
  NPD (past)

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1467742346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LACRUE AVE",
            "address_2": "SUITE 210",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421062",
            "telephone_number": "800-578-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1878 AVENIDA ARAGON",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920566203",
            "telephone_number": "419-566-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MELYSSA",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "8419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blake Johnson
• Chrisanna Johnson, M.D.
• Jovannie Johnson
• Kristopher Phillip Johnson, MD
• Leah Dale Johnson, DC
• Michelle Irene Johnson, BSN, RN
• Rachel Marie Johnson, RN, IBCLC
• Rodney Carl Johnson, O.D.
• Ronn Johnson, PH.D., ABPP
• Ryan Christopher Johnson, DO

• Occupational Therapist in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.