Individual provider Active NPI

Abigail Lynn Melvin, ODT

  • Occupational Therapist
  • House Springs, MO
National Provider Identifier
1629663299
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2021007751 Issued in MO
Practice address
6180 Highway MM
House Springs, MO 63051-2315
Phone
(636) 671-3382
NPI assigned
Mar 5, 2021
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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 2021007751 MO Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

6180 Highway MM
House Springs, MO 63051-2315

Mailing address

8961 S Swan Cir
Saint Louis, MO 63144-1717
Phone (513) 509-3743

Other practice location 1

16216 Baxter Rd Ste 330
Chesterfield, MO 63017-4778
Phone (636) 733-3330

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
2021007751MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Clinical Care Occupational Therapist PastSince Mar 1, 2021 Accepting new patients

Organizations & group practices 1

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": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1629663299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8961 S SWAN CIR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631441717",
            "telephone_number": "513-509-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6180 HIGHWAY MM",
            "city": "HOUSE SPRINGS",
            "state": "MO",
            "postal_code": "630512315",
            "telephone_number": "636-671-3382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16216 Baxter Rd Ste 330",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630174778",
            "country_code": "US",
            "telephone_number": "636-733-3330",
            "fax_number": "636-733-3332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELVIN",
        "first_name": "ABIGAIL",
        "middle_name": "LYNN",
        "credential": "ODT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2021007751",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in House Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.