Active NPI
Melissa Archibald, COTA/L
- Specialist
- Zanesville, OH
National Provider Identifier
1558764977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 03842
- Practice address
- 205 N 7TH St
Zanesville, OH 43701-3791 - Phone
- (740) 408-1422
- NPI assigned
- Sep 30, 2014
- Last updated
- Sep 30, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 03842 | OH | Primary |
Addresses
Primary practice location
205 N 7TH St
Zanesville, OH 43701-3791
Mailing address
1595 My Dr
Zanesville, OH 43701-0940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03824 | Other | OH | OCCUPATIONAL THERAPY OHIO |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03842 | OH | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412035200000",
"number": "1558764977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1595 MY DR",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437010940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N 7TH ST",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437013791",
"telephone_number": "740-408-1422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCHIBALD",
"first_name": "MELISSA",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-30",
"last_updated": "2014-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "03842",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPY OHIO",
"identifier": "03824",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Zanesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.