Individual provider Active NPI

Gabriele Melville, OTL CLT LANA

  • Occupational Therapist
  • Chapel Hill, NC
National Provider Identifier
1508047945
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3074 Issued in NC
Practice address
1829 E Franklin St Ste 200a
Chapel Hill, NC 27514-1866
Phone
(919) 619-3490
Fax
(919) 967-1705
NPI assigned
Nov 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 3074 NC
Occupational Therapist 225X00000X 3074 NC Primary

Addresses

Primary practice location

1829 E Franklin St Ste 200a
Chapel Hill, NC 27514-1866

Mailing address

1000 Dairyland Rd
Chapel Hill, NC 27516-5640
Phone (919) 933-5068

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

LicenseStateTypeSpecialty
3074NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lymflo Therapies, Inc. Specialist Past Accepting new patients
Lymflo Therapies, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231200000000",
    "number": "1508047945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 DAIRYLAND RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275165640",
            "telephone_number": "919-933-5068",
            "fax_number": "919-967-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 E FRANKLIN ST STE 200A",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141866",
            "telephone_number": "919-619-3490",
            "fax_number": "919-967-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELVILLE",
        "first_name": "GABRIELE",
        "credential": "OTL CLT LANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2009-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "3074",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "3074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.

Verify at the official NPI Registry.