Active NPI
Melissa Vining, OTR, CBIS
- Occupational Therapist
- Dallas, TX
National Provider Identifier
1770189573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 118978
- Practice address
- 14651 Dallas Pkwy Ste 200
Dallas, TX 75254-8856 - Phone
- (866) 919-3240
- NPI assigned
- Dec 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 118978 | TX | Primary |
Addresses
Primary practice location
14651 Dallas Pkwy Ste 200
Dallas, TX 75254-8856
Mailing address
14651 Dallas Pkwy Ste 200
Dallas, TX 75254-8856
Phone (682) 715-5421
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 |
|---|---|---|---|
| 118978 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1770189573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14651 DALLAS PKWY STE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752548856",
"telephone_number": "682-715-5421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14651 DALLAS PKWY STE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752548856",
"telephone_number": "866-919-3240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINING",
"first_name": "MELISSA",
"credential": "OTR, CBIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-07",
"last_updated": "2020-12-07",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "TX",
"license": "118978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.