Individual provider Active NPI

Melissa Horrigan, OT

  • Occupational Therapist
  • Hunt Valley, MD
National Provider Identifier
1972884781
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
06731 Issued in MD
Practice address
164 Lake Front Dr
Hunt Valley, MD 21030-2215
Phone
(410) 785-3845
Fax
(410) 785-3880
NPI assigned
Sep 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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 06731 MD Primary

Addresses

Primary practice location

164 Lake Front Dr
Hunt Valley, MD 21030-2215

Mailing address

164 Lake Front Dr
Hunt Valley, MD 21030-2215
Phone (410) 785-3845

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160318001966 MD Practitioner - Occupational Therapist in Private Practice 7315244399 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06731MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Comptroller of Maryland Central Payroll Bureau CurrentSince Feb 1, 2016 Accepting new patients
State of Maryland Central Payroll Bureau CurrentSince Feb 1, 2016 Accepting new patients
Trellis Services, Inc Past Accepting new patients
Trellis Services Inc. Occupational Therapist Past Accepting new patients

Locations

8000 York Rd
Towson, MD 21252
Phone (410) 704-2000

1 Olympic Pl
Ste 200
Towson, MD 21204
Phone (410) 704-3095

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1972884781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 LAKE FRONT DR",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210302215",
            "telephone_number": "410-785-3845",
            "fax_number": "410-785-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 LAKE FRONT DR",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210302215",
            "telephone_number": "410-785-3845",
            "fax_number": "410-785-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORRIGAN",
        "first_name": "MELISSA",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "06731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hunt Valley, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.