Active NPI
Melissa J Hardy, MASTERS OF EDUCATION
- Developmental Therapist
- Palm Bay, FL
National Provider Identifier
1811565682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 535 Sauders Rd SE
Palm Bay, FL 32909-6647 - Phone
- (321) 914-5649
- NPI assigned
- Jun 16, 2021
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
535 Sauders Rd SE
Palm Bay, FL 32909-6647
Mailing address
535 Sauders Rd SE
Palm Bay, FL 32909-6647
Phone (321) 914-5649
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623801600000",
"number": "1811565682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 SAUDERS RD SE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329096647",
"telephone_number": "321-914-5649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 SAUDERS RD SE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329096647",
"telephone_number": "321-914-5649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDY",
"first_name": "MELISSA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "MASTERS OF EDUCATION",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-16",
"last_updated": "2021-06-16",
"certification_date": "2021-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.