Active NPI
Melissa Marie Lombardo
- Occupational Therapist
- Coppell, TX
National Provider Identifier
1841040615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 509061
- Practice address
- 2999 Olympus Blvd
Coppell, TX 75019-0122 - Phone
- (402) 509-5532
- NPI assigned
- Mar 25, 2024
- 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 | 509061 | Primary |
Addresses
Primary practice location
2999 Olympus Blvd
Coppell, TX 75019-0122
Mailing address
9 Godiva LN
Bella Vista, AR 72715-3012
Phone (916) 705-4119
Other practice location 1
5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-6000
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": "1711324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1841040615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 GODIVA LN",
"city": "BELLA VISTA",
"state": "AR",
"postal_code": "727153012",
"telephone_number": "916-705-4119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2999 OLYMPUS BLVD",
"city": "COPPELL",
"state": "TX",
"postal_code": "750190122",
"telephone_number": "402-509-5532"
}
],
"practiceLocations": [
{
"address_1": "5325 Faraon St",
"address_purpose": "LOCATION",
"city": "Saint Joseph",
"state": "MO",
"postal_code": "645063488",
"country_code": "US",
"telephone_number": "816-271-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOMBARDO",
"first_name": "MELISSA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-25",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": "509061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coppell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.