Active NPI
Melaina Wilson, MS, OTRL
- Pediatric Occupational Therapist
- Media, PA
National Provider Identifier
1992906812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OC008958
- Practice address
- 274 Glen Riddle Rd
E107
Media, PA 19063-5809 - Phone
- (484) 885-8013
- NPI assigned
- May 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OC008958 | PA | Primary |
Addresses
Primary practice location
274 Glen Riddle Rd
E107
Media, PA 19063-5809
Mailing address
274 Glen Riddle Rd
E107
Media, PA 19063-5809
Phone (484) 885-8013
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC008958 | PA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370995200000",
"number": "1992906812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "274 GLEN RIDDLE RD",
"address_2": "E107",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635809",
"telephone_number": "484-885-8013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "274 GLEN RIDDLE RD",
"address_2": "E107",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635809",
"telephone_number": "484-885-8013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "MELAINA",
"credential": "MS, OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2013-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "PA",
"license": "OC008958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.