Individual provider Active NPI

Michael Francis Melly, MS OTR/L

  • Occupational Therapist
  • New York, NY
National Provider Identifier
1952595126
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
014668-1 Issued in NY
Practice address
426 E 14TH St Apt 3B
New York, NY 10009-3420
Phone
(201) 290-7276
NPI assigned
Aug 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 014668-1 NY Primary

Addresses

Primary practice location

426 E 14TH St Apt 3B
New York, NY 10009-3420

Mailing address

426 E 14TH St Apt 3B
New York, NY 10009-3420
Phone (201) 290-7276

Other identifiers 1

IdentifierTypeStateIssuer
014668-1OtherNYLICENSE#

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
014668-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ahava Medical of Brooklyn PC PastSince Feb 3, 2016 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.

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1952595126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 E 14TH ST APT 3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100093420",
            "telephone_number": "201-290-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 E 14TH ST APT 3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100093420",
            "telephone_number": "201-290-7276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLY",
        "first_name": "MICHAEL",
        "middle_name": "FRANCIS",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-30",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "014668-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "014668-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.