Individual provider Active NPI

Melissa Shetler-Traver, MS OTR/L

  • Occupational Therapist
  • Yorktown Heights, NY
National Provider Identifier
1760745210
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
007255-1 Issued in NY
Practice address
2725 Crompond Rd
Yorktown Heights, NY 10598-3129
Phone
(914) 243-8150
NPI assigned
Jun 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 007255-1 NY Primary
Pediatric Occupational Therapist 225XP0200X 007255-1 NY

Addresses

Primary practice location

2725 Crompond Rd
Yorktown Heights, NY 10598-3129

Mailing address

27 Londonderry LN
Somers, NY 10589-2902
Phone (914) 962-6570

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
007255-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yorktown Central School District 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.

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1760745210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 LONDONDERRY LN",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105892902",
            "telephone_number": "914-962-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 CROMPOND RD",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105983129",
            "telephone_number": "914-243-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETLER-TRAVER",
        "first_name": "MELISSA",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "007255-1",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "007255-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.