Individual provider Active NPI

Melissa Marie Philbert, OTRL

  • Occupational Therapist
  • Bardstown, KY
National Provider Identifier
1740499706
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
RO628 Issued in KY
Practice address
120 Life Care Way
Bardstown, KY 40004-2059
Phone
(502) 348-4220
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X RO628 KY Primary

Addresses

Primary practice location

120 Life Care Way
Bardstown, KY 40004-2059

Mailing address

201 S Parkside Dr
Bardstown, KY 40004-9449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230815000241 SC Practitioner - Occupational Therapist in Private Practice 2365734852 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RO628KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation, LLC Occupational Therapist CurrentSince Jul 28, 2023 Accepting new patients
Empowerme Rehabilitation, LLC Occupational Therapist CurrentSince Jul 28, 2023 Accepting new patients
The Weston Group of South Carolina Inc Occupational Therapist CurrentSince Apr 24, 2024 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

2333 Ashley River Rd
Charleston, SC 29414
Phone (843) 258-5538

872 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-3050

Organizations & group practices 3

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740499706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S PARKSIDE DR",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400049449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LIFE CARE WAY",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042059",
            "telephone_number": "502-348-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILBERT",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "RO628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.