Active NPI
Melissa Richards, OTR
- Occupational Therapist
- Boerne, TX
National Provider Identifier
1609175082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 114529
- Practice address
- 1440 River Rd
Boerne, TX 78006 - Phone
- (830) 816-5095
- NPI assigned
- Mar 24, 2011
- Last updated
- Aug 29, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 114529 | TX | Primary |
Addresses
Primary practice location
1440 River Rd
Boerne, TX 78006
Mailing address
110 View Pointe Dr
Lagrange, GA 30241-9115
Other practice location 1
110 View Pointe Dr
LaGrange, GA 30241-9115
Phone (706) 302-6637
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 |
|---|---|---|---|
| 114529 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1609175082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 VIEW POINTE DR",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302419115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 RIVER RD",
"city": "BOERNE",
"state": "TX",
"postal_code": "78006",
"telephone_number": "830-816-5095"
}
],
"practiceLocations": [
{
"address_1": "110 View Pointe Dr",
"address_purpose": "LOCATION",
"city": "LaGrange",
"state": "GA",
"postal_code": "302419115",
"country_code": "US",
"telephone_number": "706-302-6637",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHARDS",
"first_name": "MELISSA",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-24",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "114529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boerne, TX
- James David Reynolds, LPC
- Maria Concetta Rhadbane, FNP
- John P Rheiner, MD
- Richard E Duey MD PA
- Richard E. Martinez, MD and Associates, PA (Hill Country Family Medical Center)
- Yisel Richeson
- Alicia Richter, LPC ASSOCIATE
- Michael Ray Richter, LPC
- Heather R. Riebel, MD
- Rigel Geriatrics PLLC (Texas Geriatrics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.