Individual provider Active NPI

Melissa R James, OTD, OTR/L

  • Pediatric Occupational Therapist
  • Colorado Springs, CO
National Provider Identifier
1518326313
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT.0004579 Issued in CO
Practice address
3326 Austin Bluffs Pkwy Ste 110
Colorado Springs, CO 80918-5752
Phone
(719) 912-2110
Fax
(719) 400-0413
NPI assigned
Feb 22, 2016
Last updated
Dec 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT.0004579 CO Primary

Addresses

Primary practice location

3326 Austin Bluffs Pkwy Ste 110
Colorado Springs, CO 80918-5752

Mailing address

2210 Lelaray St
Colorado Springs, CO 80909-2220
Phone (719) 475-0477

Other practice location 1

2210 Lelaray St
Colorado Springs, CO 80909-2220
Phone (719) 475-0477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240116001709 CO Practitioner - Occupational Therapist in Private Practice 0345692380 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
All Abilities Health & Rehab PLLC CurrentSince Jan 22, 2024 Accepting new patients
Developmental Pediatrics Past Accepting new patients

Locations

3326 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 912-2110

3326 Austin Bluffs Pkwy
Ste 110
Colorado Springs, CO 80918
Phone (719) 912-2110

3425 Austin Bluffs Pkwy
Ste 105
Colorado Springs, CO 80918
Phone (719) 265-6601

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1518326313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 LELARAY ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092220",
            "telephone_number": "719-475-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3326 AUSTIN BLUFFS PKWY STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185752",
            "telephone_number": "719-912-2110",
            "fax_number": "719-400-0413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2210 Lelaray St",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809092220",
            "country_code": "US",
            "telephone_number": "719-475-0477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "MELISSA",
        "middle_name": "R",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CO",
            "license": "OT.0004579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.