Active NPI
Melissa B Pena, O.T.
- Occupational Therapist
- McAllen, TX
National Provider Identifier
1689851750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 112638
- Practice address
- 518 E Dove Ave
McAllen, TX 78504-2241 - Phone
- (956) 661-0111
- Fax
- (956) 661-0112
- NPI assigned
- Jan 30, 2008
- 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 | 112638 | TX | Primary |
Addresses
Primary practice location
518 E Dove Ave
McAllen, TX 78504-2241
Mailing address
518 E Dove Ave
McAllen, TX 78504-2241
Phone (956) 661-0111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149229001 | Medicaid | TX |
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 |
|---|---|---|---|
| 112638 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309392000000",
"number": "1689851750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 E DOVE AVE",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785042241",
"telephone_number": "956-661-0111",
"fax_number": "956-661-0112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 E DOVE AVE",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785042241",
"telephone_number": "956-661-0111",
"fax_number": "956-661-0112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA",
"first_name": "MELISSA",
"middle_name": "B",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-30",
"last_updated": "2011-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "112638",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149229001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.