Melba Mozelle Pittard, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

110732 Issued in TX

Practice address

1477 Lomaland Dr Ste E7
El Paso, TX 79935-4704

Phone

(915) 599-6690

Fax

(915) 592-7168

NPI assigned

Mar 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1982733705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025622",
            "telephone_number": "915-887-3410",
            "fax_number": "915-592-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 LOMALAND DR STE E7",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354704",
            "telephone_number": "915-599-6690",
            "fax_number": "915-592-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTARD",
        "first_name": "MELBA",
        "middle_name": "MOZELLE",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "110732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163506201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miguel A. Pirela-Cruz, M.D.
• Paisith Piriyawat, M.D.
• Frederick Walter Pirk, DDS MS
• Larisa Ito Pitchkolan
• Clarence Anthony Pitre, M.D.
• Charles I Pittle, DPM
• Gabriel Pizano
• Joemarys Alexandra Pizarro Acosta
• Amy Marie Pizzuti Brown, IBCLC
• PL Medical Supply, Inc

• Occupational Therapist in El Paso, TX
• Providers in El Paso, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.