Active NPI
Melissa Plourde, O.T.
- Occupational Therapist
- Jay, ME
National Provider Identifier
1881900371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT1209
- Practice address
- 12 Tiger Dr
Jay School Department
Jay, ME 04239-1518 - Phone
- (207) 897-5271
- Fax
- (207) 897-4657
- NPI assigned
- Aug 23, 2010
- Last updated
- Aug 23, 2010
- 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 Therapist | 225X00000X | OT1209 | ME | Primary |
Addresses
Primary practice location
12 Tiger Dr
Jay School Department
Jay, ME 04239-1518
Mailing address
12 Tiger Dr
Jay School Department
Jay, ME 04239-1518
Phone (207) 897-5271
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 |
|---|---|---|---|
| OT1209 | ME | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Town of Jay, Jay School Department | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Jay, ME
- NPI 1962621144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282521600000",
"number": "1881900371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 TIGER DR",
"address_2": "JAY SCHOOL DEPARTMENT",
"city": "JAY",
"state": "ME",
"postal_code": "042391518",
"telephone_number": "207-897-5271",
"fax_number": "207-897-4657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 TIGER DR",
"address_2": "JAY SCHOOL DEPARTMENT",
"city": "JAY",
"state": "ME",
"postal_code": "042391518",
"telephone_number": "207-897-5271",
"fax_number": "207-897-4657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLOURDE",
"first_name": "MELISSA",
"credential": "O.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-23",
"last_updated": "2010-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ME",
"license": "OT1209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jay, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.