Active NPI
Melissa Erin Coyle, COTA/L
- Occupational Therapy Assistant
- Middletown, NY
National Provider Identifier
1669252128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 011447
- Practice address
- 726 E Main St Ste 102
Middletown, NY 10940-2654 - Phone
- (845) 394-0080
- NPI assigned
- Oct 3, 2023
- 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 Therapy Assistant | 224Z00000X | 011447 | NY | Primary |
Addresses
Primary practice location
726 E Main St Ste 102
Middletown, NY 10940-2654
Mailing address
115 Tally Ho Rd
Middletown, NY 10940-7379
Phone (845) 645-7893
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 |
|---|---|---|---|
| 011447 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1669252128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 TALLY HO RD",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109407379",
"telephone_number": "845-645-7893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "726 E MAIN ST STE 102",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109402654",
"telephone_number": "845-394-0080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COYLE",
"first_name": "MELISSA",
"middle_name": "ERIN",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-03",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "011447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.