Active NPI
Melissa Harty, COTA
- Occupational Therapy Assistant
- Gilmer, TX
National Provider Identifier
1831687490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- Practice address
- 586 Fairway Dr
Gilmer, TX 75645-2900 - Phone
- (190) 379-0143
- NPI assigned
- Apr 28, 2018
- 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 Therapy Assistant | 224Z00000X | Primary |
Addresses
Primary practice location
586 Fairway Dr
Gilmer, TX 75645-2900
Mailing address
586 Fairway Dr
Gilmer, TX 75645-2900
Phone (903) 734-6274
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": "1524873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524873600000",
"number": "1831687490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "586 FAIRWAY DR",
"city": "GILMER",
"state": "TX",
"postal_code": "756452900",
"telephone_number": "903-734-6274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "586 FAIRWAY DR",
"city": "GILMER",
"state": "TX",
"postal_code": "756452900",
"telephone_number": "190-379-0143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTY",
"first_name": "MELISSA",
"name_prefix": "Mrs.",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-28",
"last_updated": "2018-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilmer, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.