Individual provider Active NPI

Melissa McCabe, COTA/L

  • Occupational Therapy Assistant
  • Branchville, NJ
National Provider Identifier
1619470846
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
008999-01 Issued in NY
Practice address
115 Beemer Church Rd
Branchville, NJ 07826-5704
Phone
(973) 600-8715
NPI assigned
Mar 14, 2018
Last updated
Mar 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 46TA09111000 NJ
Occupational Therapy Assistant 224Z00000X 008999-01 NY Primary

Addresses

Primary practice location

115 Beemer Church Rd
Branchville, NJ 07826-5704

Mailing address

115 Beemer Church Rd
Branchville, NJ 07826-5704
Phone (973) 600-8715

Other practice location 1

156 State Route 15
Lafayette, NJ 07848-2607
Phone (973) 862-6377

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
46TA09111000NJMDOccupational Therapy Assistant
008999-01NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Pediatrics Occupational Therapy Assistant Past Accepting new patients
Damon Physical Therapy PastSince May 10, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1619470846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BEEMER CHURCH RD",
            "city": "BRANCHVILLE",
            "state": "NJ",
            "postal_code": "078265704",
            "telephone_number": "973-600-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BEEMER CHURCH RD",
            "city": "BRANCHVILLE",
            "state": "NJ",
            "postal_code": "078265704",
            "telephone_number": "973-600-8715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "156 State Route 15",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "NJ",
            "postal_code": "078482607",
            "country_code": "US",
            "telephone_number": "973-862-6377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCABE",
        "first_name": "MELISSA",
        "name_prefix": "Miss",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "46TA09111000",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "008999-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branchville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.