Active NPI
Melissa B Ryan
- Occupational Therapist
- Cincinnati, OH
National Provider Identifier
1477891133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6790
- Practice address
- 3430 Burnet Ave # 4007
Cincinnati, OH 45229-2833 - Phone
- (513) 636-6020
- NPI assigned
- Jan 30, 2013
- Last updated
- Oct 28, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31005422A | IN | |
| Occupational Therapist | 225X00000X | 6790 | WI | Primary |
| Pediatric Occupational Therapist | 225XP0200X | OT009291 | OH |
Addresses
Primary practice location
3430 Burnet Ave # 4007
Cincinnati, OH 45229-2833
Mailing address
2251 N Shore Dr
Rhinelander, WI 54501-6710
Phone (715) 361-2000
Other practice location 1
118 Medical Dr
Carmel, IN 46032-2923
Phone (317) 573-1037
Other practice location 2
2251 N Shore Dr
Rhinelander, WI 54501-6710
Phone (715) 361-2000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31005422A | IN | MD | Occupational Therapist |
| OT009291 | OH | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1477891133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2251 N SHORE DR",
"city": "RHINELANDER",
"state": "WI",
"postal_code": "545016710",
"telephone_number": "715-361-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3430 BURNET AVE # 4007",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452292833",
"telephone_number": "513-636-6020"
}
],
"practiceLocations": [
{
"address_1": "118 Medical Dr",
"address_purpose": "LOCATION",
"city": "Carmel",
"state": "IN",
"postal_code": "460322923",
"country_code": "US",
"telephone_number": "317-573-1037",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2251 N Shore Dr",
"address_purpose": "LOCATION",
"city": "Rhinelander",
"state": "WI",
"postal_code": "545016710",
"country_code": "US",
"telephone_number": "715-361-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RYAN",
"first_name": "MELISSA",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-30",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31005422A",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "6790",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "OH",
"license": "OT009291",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.