Individual provider Active NPI

Melissa Marris, OTR/L

  • Occupational Therapist
  • Windsor, CT
National Provider Identifier
1699455790
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5929 Issued in CT
Practice address
255 Dudley Town Rd
Windsor, CT 06095-2640
Phone
(860) 752-4996
NPI assigned
Jul 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT4685 ME
Occupational Therapist 225X00000X 072.0134483TELE VT
Mental Health Occupational Therapist 225XM0800X 5929 CT
Mental Health Occupational Therapist 225XM0800X 14718 MA
Occupational Therapist 225X00000X 5929 CT Primary

Addresses

Primary practice location

255 Dudley Town Rd
Windsor, CT 06095-2640

Mailing address

255 Dudley Town Rd
Windsor, CT 06095-2640

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
5929CTMDProfessional Counselor
OT4685MEMDOccupational Therapist
072.0134483TELEVTMDOccupational Therapist
14718MAMDMental Health Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Reach Therapeutics, LLC Occupational Therapist CurrentSince May 11, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: melissa.marris@489656322949124.direct.elationemr.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1699455790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 DUDLEY TOWN RD",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 DUDLEY TOWN RD",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952640",
            "telephone_number": "860-752-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRIS",
        "first_name": "MELISSA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT4685",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VT",
            "license": "072.0134483TELE",
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "CT",
            "license": "5929",
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "MA",
            "license": "14718",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "5929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.