Individual provider Active NPI

Melanie Carlson, MSOT

  • Pediatric Occupational Therapist
  • Durham, NC
National Provider Identifier
1902458466
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
11877 Issued in NC
Practice address
3000 Erwin Rd
Durham, NC 27705-4504
Phone
(919) 684-6669
NPI assigned
Jul 15, 2019
Last updated
Jul 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 023511 NY
Pediatric Occupational Therapist 225XP0200X 11877 NC Primary

Addresses

Primary practice location

3000 Erwin Rd
Durham, NC 27705-4504

Mailing address

1551 Atria Cir Apt 2113
Raleigh, NC 27604-5329

Other practice location 1

775 Haywood Rd
Asheville, NC 28806-3159
Phone (828) 774-5222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210820002309 NC Practitioner - Occupational Therapist in Private Practice 5395140867 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11877NCMDProfessional Counselor
023511NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. CurrentSince Jul 6, 2021 Accepting new patients
Duke University Health System, Inc. CurrentSince Jul 6, 2021 Accepting new patients
Duke University Health System, Inc. Current Accepting new patients
Physiatry Consultants of NC PLLC PastSince Mar 1, 2021 Accepting new patients

Locations

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

3000 Erwin Rd
Durham, NC 27705
Phone (919) 668-3988

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1902458466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 ATRIA CIR APT 2113",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276045329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054504",
            "telephone_number": "919-684-6669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 Haywood Rd",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288063159",
            "country_code": "US",
            "telephone_number": "828-774-5222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "MELANIE",
        "credential": "MSOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2021-07-12",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "023511",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "11877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.