Melissa Jane Maclellan, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4337 Issued in NC

Practice address

2300 Spring Garden St
Greensboro, NC 27403-2135

Phone

(336) 294-3338

Fax

(336) 294-6696

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mrs. Melissa Jane Patriquin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1710044326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 S TREMONT DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031736",
            "telephone_number": "336-275-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SPRING GARDEN ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274032135",
            "telephone_number": "336-294-3338",
            "fax_number": "336-294-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLELLAN",
        "first_name": "MELISSA",
        "middle_name": "JANE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "4337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "127GY",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301419",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "PATRIQUIN",
            "middle_name": "JANE",
            "prefix": "MRS.",
            "credential": "OTR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cory Mackenzie
• Lisbeth Mackenzie, LCAS-A, CSAPC
• Theresa Ann Mackey, LCAS-A
• Stephen Barry Mackler, DDS,MS
• Matthew Timothy Maclean, MD
• Erwin Fernando Macrohon Jr.
• Michael Marconi Maczis, PA-C
• Puja Gosai Maczis, PA
• Kimberly Madden, M.ED.
• William Madden

• Occupational Therapist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.