Melissa Marie Nickesron, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4036 Issued in MA

Practice address

360 Merrimack St
BLDG 9
Lawrence, MA 01843-1740

Phone

(978) 552-4000

NPI assigned

May 2, 2011

Last updated

May 2, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1922399427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 DICKSON AVE",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018761601",
            "telephone_number": "978-551-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MERRIMACK ST",
            "address_2": "BLDG 9",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431740",
            "telephone_number": "978-552-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKESRON",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "1929",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "4036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yen-Linh Trinh Nguyen, O.D.
• Ali R Niakosari, M.D.
• Drew G. Niccolini, M.D.
• Emily Nichols, PNP
• Michael Nichols
• Brian Nickley, MD
• Tracey E Nicolosi, LMHC, LADC
• Jacklyn D Nieves
• Melissa M Nihan, INTERN
• Naveed Nikpour, MD

• Occupational Therapist in Lawrence, MA
• Providers in Lawrence, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.