Active NPI
Melodye Moulton Bassett, OTRL CHT
- Occupational Therapist
- Boca Raton, FL
National Provider Identifier
1699874099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT1670
- Practice address
- 3848 Fau Blvd Ste 105
Boca Raton, FL 33431-6437 - Phone
- (561) 395-2920
- Fax
- (561) 997-8929
- NPI assigned
- Sep 22, 2006
- 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 | OT1670 | FL | Primary |
Addresses
Primary practice location
3848 Fau Blvd Ste 105
Boca Raton, FL 33431-6437
Mailing address
3848 Fau Blvd
Ste 105
Boca Raton, FL 33431-6437
Phone (561) 432-0111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 889331400 | Medicaid | FL |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT1670 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One to One Physical Therapy, Inc. | Past | 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 and National Provider Directory roles.
-
- Physical Therapist
- Delray Beach, FL
- NPI 1093768517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461196800000",
"number": "1699874099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3848 FAU BLVD",
"address_2": "STE 105",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316437",
"telephone_number": "561-432-0111",
"fax_number": "561-432-1075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3848 FAU BLVD STE 105",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316437",
"telephone_number": "561-395-2920",
"fax_number": "561-997-8929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASSETT",
"first_name": "MELODYE",
"middle_name": "MOULTON",
"name_prefix": "Mrs.",
"credential": "OTRL CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2016-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT1670",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "889331400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.