Active NPI
Melissa Holmstrom
- Occupational Therapist
- Palm Harbor, FL
National Provider Identifier
1780737999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 22360
- Practice address
- 36430 US Highway 19 N
Palm Harbor, FL 34684-1330 - Phone
- (727) 330-0240
- NPI assigned
- Jan 19, 2007
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 22360 | FL | Primary |
Addresses
Primary practice location
36430 US Highway 19 N
Palm Harbor, FL 34684-1330
Mailing address
7130 Emerald Spring Loop
New Port Richey, FL 34653-6961
Phone (585) 509-1140
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P010011417 | Other | NY | EXCELLUS |
| 7514738 | Other | NY | AETNA |
| MDJ001 | Other | NY | PREFERRED CARE |
| P02011417 | Other | NY | CROSSBRIDGE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220819001290 | FL | Practitioner - Occupational Therapist in Private Practice | 0840673166 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22360 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Steps Florida LLC | 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.
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- Dunedin, FL
- NPI 1669081634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1780737999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7130 EMERALD SPRING LOOP",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346536961",
"telephone_number": "585-509-1140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36430 US HIGHWAY 19 N",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346841330",
"telephone_number": "727-330-0240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMSTROM",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "22360",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS",
"identifier": "P010011417",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7514738",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "MDJ001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CROSSBRIDGE",
"identifier": "P02011417",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.