Active NPI
Melinda Hattaway Thrift, OTR/L
- Occupational Therapist
- Waycross, GA
National Provider Identifier
1841528239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1118
- Practice address
- 932 Bennett Rd
Waycross, GA 31503-1034 - Phone
- (912) 286-2665
- Fax
- (912) 285-3050
- NPI assigned
- Nov 24, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT01118 | GA | |
| Occupational Therapist | 225X00000X | 1118 | GA | Primary |
Addresses
Primary practice location
932 Bennett Rd
Waycross, GA 31503-1034
Mailing address
932 Bennett Rd
Waycross, GA 31503-1034
Phone (912) 286-2665
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 |
|---|---|---|---|
| 1118 | GA | MD | Occupational Therapist |
| OT01118 | GA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495670400000",
"number": "1841528239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "932 BENNETT RD",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315031034",
"telephone_number": "912-286-2665",
"fax_number": "912-285-3050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "932 BENNETT RD",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315031034",
"telephone_number": "912-286-2665",
"fax_number": "912-285-3050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THRIFT",
"first_name": "MELINDA",
"middle_name": "HATTAWAY",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-24",
"last_updated": "2017-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "GA",
"license": "OT01118",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "1118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waycross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.