Melissa Jacob, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

112294 Issued in TX

Practice address

3851 Roger Brooke Dr
McHe-QD/Credentials
Fort Sam Houston, TX 78234-4501

Phone

(210) 916-2460

Fax

(210) 916-5102

NPI assigned

Mar 27, 2013

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

Other names 1

• Melissa Schomberg Former name

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": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1467795492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 LOU JON CIR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782133354",
            "telephone_number": "210-274-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 ROGER BROOKE DR",
            "address_2": "MCHE-QD/CREDENTIALS",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344501",
            "telephone_number": "210-916-2460",
            "fax_number": "210-916-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "112294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "SCHOMBERG",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew James Izzo, CRNA
• Amber Jacko, FNP
• Christy Nichole Jackson, CNM
• Margaret Jackson, PSY.D.
• Marjorie Jackson
• Aimee Nicole Jacobs, PT, DPT
• Devon Ho-Jun Jacobs, PHARMD, BCPS
• Elizabeth A Jacobs, PH.D.
• Andrew Ray Jacobson, MD
• Eric J Jacobson, M.D.

• Occupational Therapist in Fort Sam Houston, TX
• Providers in Fort Sam Houston, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.