MELISSA BLAIR GARDNER (NPI# 1265980718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265980718 |
| Entity Type | Individual |
| Full Name | MELISSA BLAIR GARDNER |
| Other Name | MELISSA BLAIR STILES |
| Credential | COTA/L |
| Practice Address |
3960 New Covington Pike Memphis TN 38128-2504 |
| Practice Telephone | 9015165320 |
| Mailing Telephone | 9015165320 |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2020-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | A02386 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224Z00000X | Occupational Therapy Assistant | 2374 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942773031 | Melissa Gardner | Social Worker | 5550 High Point Ct, Parma, OH 44134-2041 | 2019-01-10 |
| 1033652987 | Melissa Gardner | Nurse Practitioner | 59 Meridian St, East Boston, MA 02128-1959 | 2016-11-27 |
| 1336568641 | Melissa Lynn Gardner | Counselor | 3925 N Martin Luther King #212, Las Vegas, NV 89032-7673 | 2014-04-15 |
| 1871845743 | Melissa Gardner | Student in an Organized Health Care Education/Training Program | 82 Tomahawk Trl, Henrietta, NY 14467-9542 | 2012-10-02 |
| 1376554147 | Melissa Deann Gardner | Optometrist | 5744 Antioch Rd, Merriam, KS 66202-2015 | 2006-08-10 |
| 1245848712 | Melissa M Gardner | Student in an Organized Health Care Education/Training Program | 1 Bowdoin Sq Fl 7, Boston, MA 02114-2927 | 2020-07-21 |
| 1144853128 | Melissa Gardner | Occupational Therapist | 1600 Grand Lake Dr, Conroe, TX 77304-2834 | 2020-02-18 |
| 1740772714 | Melissa Eileen Gardner | Social Worker | 2649 Sw Arrowhead Rd, Topeka, KS 66614-2458 | 2018-06-05 |
| 1639685316 | Melissa Gardner | Behavior Technician | 415 Medical Dr, Bountiful, UT 84010-4946 | 2017-12-18 |
| 1457870495 | Melissa D Gardner | Physical Therapy Assistant | 608 N Mulberry Rd, Derby, KS 67037-3532 | 2017-09-11 |
| Street Address |
3960 NEW COVINGTON PIKE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38128-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881695997 | Joseph A Mixon | Emergency Medicine | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2005-08-10 |
| 1619598174 | Brittany Alys Kellum | Nurse Practitioner | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2020-05-06 |
| 1306466867 | Ashley Moore | Occupational Therapist | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2020-04-24 |
| 1124648688 | Janna Fay Knickerbocker | Occupational Therapist | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2020-04-24 |
| 1184244758 | Elizabeth Janette Roads Upchurch | Speech-Language Pathologist | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2020-04-23 |
| 1326668948 | Alison Ingles | Speech-Language Pathologist | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2020-04-23 |
| 1497375018 | Julia Alexandra Seaton | Speech-Language Pathologist | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2020-04-23 |
| 1902426547 | Sarah Abernethy Mcgrath | Occupational Therapist | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2020-04-23 |
| 1033739644 | Alexis Potter | Physical Therapist | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2020-04-23 |
| 1629698261 | Katrina Nicole Walker | Physical Therapy Assistant | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2020-04-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518505775 | Available Home Care Service | Home Health | 3133 Kirkcaldy Rd, Memphis, TN 38128 | 2019-12-18 |
| 1912545690 | Sherry L. Russell | Technician | 4687 Priscilla Ave, Mmphis, TN 38128 | 2019-12-13 |
| 1518442318 | Genevieve Tempy Thomas | Counselor | 3900 Covington Pike, Suite 107, Memphis, TN 38128 | 2018-09-27 |
| 1487172037 | Right Care Home Health Agency | Home Health | 5116 Raleigh Lagrange Suite 5, Memphis, TN 38128 | 2017-09-05 |
| 1659744555 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 5020 English Towne Drive, Memphis, TN 38128 | 2015-11-02 |
| 1184009649 | Linda Fay Williams | Nurse Practitioner | 3655 Haughton Lane #2, Memphis, TN 38128 | 2015-07-27 |
| 1194153528 | Jessica Rene Bush | Social Worker | 2922 Covington Pike, Memphis, TN 38128 | 2013-10-22 |
| 1013345685 | Frank Earl Madden Sr. | Non-emergency Medical Transport (VAN) | 4416 E. Hunters Glen St, Memphis, TN 38128 | 2013-10-17 |
| 1902230915 | Jonathan Jeu | Pharmacist | 3500 Ramill Road, Memphis, TN 38128 | 2013-08-27 |
| 1245662238 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 3131 James Road, Memphis, TN 38128 | 2013-08-01 |
| Find all providers in zip 38128 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326668195 | Taylor Winstead | Occupational Therapy Assistant | 1251 Wesley Dr Ste 141, Memphis, TN 38116-6443 | 2020-04-22 |
| 1619529070 | Melissa Jane Goodwin | Occupational Therapy Assistant | 414 Forest Ave, Memphis, MO 63555-1644 | 2019-07-15 |
| 1013573237 | Takeisha Christa Anderson | Occupational Therapy Assistant | 4467 E Mallory Ave, Memphis, TN 38117-6939 | 2019-05-13 |
| 1285190504 | Keyuana Tiera Rucker | Occupational Therapy Assistant | 6990 Boxborough Cv, Memphis, TN 38119-8783 | 2019-02-11 |
| 1821597808 | Patricia Ann Brookins | Occupational Therapy Assistant | 922 Leacrest Ave, Memphis, TN 38109 | 2018-02-06 |
| 1609311828 | Lynn Owen | Occupational Therapy Assistant | 6693 Massey Ln, Memphis, TN 38120-3325 | 2016-12-24 |
| 1205284627 | Tanya Crigler | Occupational Therapy Assistant | 2761 Cochese Cv, Memphis, TN 38118-2104 | 2016-05-26 |
| 1043580582 | Daphne Renee O'brien | Occupational Therapy Assistant | 5151 Blacksmith Dr, Memphis, TN 38127-2530 | 2011-12-30 |
| 1245509702 | Jennifer Frazier | Occupational Therapy Assistant | 877 Jeferson Ave, Memphis, TN 30103 | 2011-12-29 |
| 1326342213 | Cheryl A Eaton | Occupational Therapy Assistant | 5086 Sea Isle Rd, Memphis, TN 38117-6336 | 2011-01-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.