Individual provider Active NPI

Melissa Amma Owusu, OTR/L

  • Occupational Therapist
  • Baltimore, MD
National Provider Identifier
1558914671
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
09249 Issued in MD
Practice address
700 W 40TH St
Baltimore, MD 21211-2140
Phone
(410) 235-8860
NPI assigned
Jul 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119008153 VA
Occupational Therapist 225X00000X 09249 MD Primary

Addresses

Primary practice location

700 W 40TH St
Baltimore, MD 21211-2140

Mailing address

100 E Redwood St Apt 2221
Baltimore, MD 21202-1373
Phone (703) 915-5657

Other practice location 1

11200 Waples Mill Rd Ste 100
Fairfax, VA 22030-7475
Phone (703) 915-5657

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

LicenseStateTypeSpecialty
09249MDMDOccupational Therapist
0119008153VAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1558914671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E REDWOOD ST APT 2221",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212021373",
            "telephone_number": "703-915-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W 40TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112140",
            "telephone_number": "410-235-8860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11200 Waples Mill Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220307475",
            "country_code": "US",
            "telephone_number": "703-915-5657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWUSU",
        "first_name": "MELISSA",
        "middle_name": "AMMA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119008153",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "09249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.