Active NPI
Melissa Marie Gibblets, MS, OTRL
- Occupational Therapist
- Honesdale, PA
National Provider Identifier
1568580462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC007144L
- Practice address
- 23 Ellen Memorial LN
Honesdale, PA 18431-4096 - Phone
- (570) 253-5690
- NPI assigned
- Mar 27, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC007144L | PA | Primary |
Addresses
Primary practice location
23 Ellen Memorial LN
Honesdale, PA 18431-4096
Mailing address
47 Market St
Jenkins Township, PA 18640-1401
Phone (570) 655-1884
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | Current | Accepting new patients |
| Prime Rehabilitation Services, Inc. | Occupational Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568580462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 MARKET ST",
"city": "JENKINS TOWNSHIP",
"state": "PA",
"postal_code": "186401401",
"telephone_number": "570-655-1884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 ELLEN MEMORIAL LN",
"city": "HONESDALE",
"state": "PA",
"postal_code": "184314096",
"telephone_number": "570-253-5690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBLETS",
"first_name": "MELISSA",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "MS, OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC007144L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honesdale, PA
- Lisa Shea Gambini, DEM
- Bridget Garcia Babcock, CPHT
- Morgan Leigh Gasper, PA
- Geisinger Clinic (PrimeMed Medical Grp Honesdale in collaboration w/ Geisinger Clinic)
- Kay Lynn Gendron, PH.D.
- Francie Faun Gilchrist, CERTIFIED DOULA
- Carrie Gager Gill, LPC, LBS
- Harris Rahman Gill, MD
- Emebet Tilahun Giref, MSPT
- Beth Larraine Gladson, MS OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.