Melissa Jeanne Smith, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

004773 Issued in NY

Practice address

7 Wyatt Rd
Garden City, NY 11530-3040

Phone

(516) 877-7861

NPI assigned

Nov 26, 2008

Last updated

Nov 26, 2008By the provider in NPPES

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

• Miss Melissa Jeanne Shahidi 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": "1227657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227657600000",
    "number": "1558516930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WYATT RD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303040",
            "telephone_number": "516-877-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WYATT RD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303040",
            "telephone_number": "516-877-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MELISSA",
        "middle_name": "JEANNE",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-26",
        "last_updated": "2008-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "004773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "SHAHIDI",
            "middle_name": "JEANNE",
            "prefix": "MISS",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alma Mae Small, LPN
• Deborah A. Smith
• Eric Smith, LCSW
• Kenneth Albert Smith, PH.D.
• Madeline Smith
• Michael Vincent Smith, M.D.
• Robin Smith, MD
• Whittney Smith, ATC
• Jeffrey C. Smitten, D.D.S.
• John Francis Smollon, DDS

• Occupational Therapist in Garden City, NY
• Providers in Garden City, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; 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.