Individual provider Active NPI

Melanie Ann Mollard, MOT, OTR/L

  • Occupational Therapist
  • Kissimmee, FL
National Provider Identifier
1952941932
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT13957 Issued in FL
Practice address
3350 W Southport Rd
Kissimmee, FL 34746-2706
Phone
(407) 846-0152
NPI assigned
Jan 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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 OT13957 FL Primary

Addresses

Primary practice location

3350 W Southport Rd
Kissimmee, FL 34746-2706

Mailing address

614 Copeland Dr
Haines City, FL 33844-9656
Phone (724) 322-1392

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

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Florida, LLC CurrentSince Jan 31, 2023 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Jan 22, 2024 Accepting new patients
Empowerme Rehabilitation Florida, LLC CurrentSince Jan 31, 2023 Accepting new patients
Legacy Healthcare Services, Inc Occupational Therapist CurrentSince Jan 22, 2024 Accepting new patients
Cora Health Services, Inc PastSince Sep 29, 2024 Accepting new patients
Cora Health Services Inc PastSince Sep 29, 2024 Accepting new patients

Locations

2219 Chiquita Blvd S
Cape Coral, FL 33991
Phone (239) 205-3654

8213 Killearn Lakes Ter
Tallahassee, FL 32312
Phone (850) 391-0979

38130 Pretty Pond Rd
Zephyrhills, FL 33540
Phone (813) 400-2291

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1952941932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 COPELAND DR",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338449656",
            "telephone_number": "724-322-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 W SOUTHPORT RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347462706",
            "telephone_number": "407-846-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLARD",
        "first_name": "MELANIE",
        "middle_name": "ANN",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT13957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.