MELBOURNE THERAPY CLINIC INC (NPI# 1639311392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639311392 |
| Entity Type | Organization |
| Organization Name | MELBOURNE THERAPY CLINIC INC |
| Practice Address |
701 Main Street Suite B Melbourne AR 72556 |
| Mailing Address |
Po Box 814 Melbourne AR 72556-0814 |
| Practice Telephone | 8703684774 |
| Practice Fax Number | 8703684773 |
| Mailing Telephone | 8703684774 |
| Mailing Fax Number | 8703684773 |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2009-04-22 |
| Authorized Official Name | MRS. MELISSA W LAMB (OCCUPATIONAL THERAPIST/PRESIDENT) |
| Authorized Official Telephone | 8703684774 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OTR1310 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 138707721 | 05 | |
| AR | MEDICARE | 5G198 | 01 |
| Street Address |
701 MAIN STREET SUITE B |
| City | MELBOURNE |
| State | AR |
| Zip Code | 72556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275143950 | Brad Wheelis Family Dentistry Pllc | Clinic/Center | 1218 East Main St, Melbourne, AR 72556 | 2020-08-06 |
| 1932742640 | Abby Everett | Pharmacist | 803 E Main Street, Melbourne, AR 72556 | 2019-10-25 |
| 1154849065 | Baxter Regional Health System | Nurse Practitioner | 1019 East Main Street, Melbourne, AR 72556 | 2017-08-31 |
| 1265955512 | Kids El Melbourne | Pediatrics | 889 East Main, Melbourne, AR 72556 | 2017-07-19 |
| 1245752070 | Morgan Brittany Shirley | Nurse Practitioner | 1019 E. Main St., Melbourne, AR 72556 | 2017-07-13 |
| 1467988725 | Anita Love | Case Manager/Care Coordinator | 637 Esat Main St, Melbourne, AR 72556 | 2017-05-05 |
| 1558729236 | Regan Tharp | Developmental Therapist | 889 E. Main, Melbourne, AR 72556 | 2016-02-09 |
| 1740693274 | Richard Thomas Keefer | Social Worker | 637 East Main St, Melbourne, AR 72556 | 2014-06-02 |
| 1164858437 | Mary Grice Duncan | Pharmacist | 600 N. Main Street, Suite C, Melbourne, AR 72556 | 2013-09-18 |
| 1265871248 | Kidspiration Pediatric Therapy Services Too, Inc. | Clinic/Center | 905 East Main St, Melbourne, AR 72556 | 2013-06-23 |
| Find all providers in zip 72556 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134622301 | Lori Karlin | Occupational Therapist | 4280 Windover Way, Melbourne, FL 32934-8515 | 2018-03-14 |
| 1053849968 | Alexandra L Marston | Occupational Therapist | 7000 Spyglass Ct Ste 120, Melbourne, FL 32940-7948 | 2017-05-23 |
| 1538601554 | Brian David Johnson | Occupational Therapist | 7370 Cabot Ct Ste 101, Melbourne, FL 32940-8263 | 2016-11-08 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| 1376917294 | Heather Marie Engel | Occupational Therapist | 2685 Kingdom Ave, Melbourne, FL 32934-7587 | 2015-11-16 |
| 1225449366 | Judy K Carroll | Occupational Therapist | 3063 Sweet Pine Dr, Melbourne, FL 32935-4587 | 2014-05-12 |
| 1366773186 | Rachel H Vickers | Occupational Therapist | 1800 Penn St Ste 312, Melbourne, FL 32901-2643 | 2010-01-18 |
| 1801070826 | Zindy Padilla | Occupational Therapist | 3040 North Harbor City Boulvard, Suite 7, Melbourne, FL 32935 | 2007-12-27 |
| 1053513556 | Amaisa Garcia Changcoco | Occupational Therapist | 3040 N Wickham Rd Ste 7, Melbourne, FL 32935-2369 | 2007-06-05 |
| 1659498533 | Jennifer Ditscheit | Occupational Therapist | 4001 Stack Blvd., Melbourne, FL 32901 | 2007-03-23 |
| Find all providers in MELBOURNE | ||||
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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.