Active NPI
Melina Gabriela Marte, OT
- Pediatric Occupational Therapist
- Tampa, FL
National Provider Identifier
1750830287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 17892
- Practice address
- 13101 Bruce B Downs Blvd
Tampa, FL 33612-3803 - Phone
- (813) 821-8038
- Fax
- (813) 974-4325
- NPI assigned
- Sep 26, 2016
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 17892 | FL | Primary |
Addresses
Primary practice location
13101 Bruce B Downs Blvd
Tampa, FL 33612-3803
Mailing address
PO Box 917770
Orlando, FL 32891-0001
Phone (813) 821-8038
Other practice location 1
1600 SW Archer Rd
Gainesville, FL 32610-3001
Phone (352) 273-8555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y911W | Other | FL | BLUE CROSS BLUE SHIELD |
| 111588500 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmarte198796@direct.tgh.org |
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 |
|---|---|---|---|
| 17892 | FL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| University Medical Service Association Inc | Past | Accepting new patients |
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Neurological Surgery Physician
- Tampa, FL
- NPI 1740227966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1750830287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 917770",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328910001",
"telephone_number": "813-821-8038",
"fax_number": "813-974-4325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13101 BRUCE B DOWNS BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336123803",
"telephone_number": "813-821-8038",
"fax_number": "813-974-4325"
}
],
"practiceLocations": [
{
"address_1": "1600 SW Archer Rd",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326103001",
"country_code": "US",
"telephone_number": "352-273-8555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTE",
"first_name": "MELINA",
"middle_name": "GABRIELA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-26",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "17892",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y911W",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111588500",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmarte198796@direct.tgh.org",
"affiliation": "N",
"address_1": "13101 Bruce B Downs Blvd",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336123803",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.