Active NPIIndividual provider

Mrs. Melissa J Knickerbocker, OTR/L

Occupational Therapist in Southington, Connecticut

NPI Number1154501716
Practice location
45 Meriden Ave, Southington, CT 06489-3214
Fax
—
Last updated
November 11, 2007

Melissa J Knickerbocker is an Occupational Therapist based in Southington, CT. Melissa J Knickerbocker practices in Southington, CT and has the professional credentials of OTR/L. The NPI Number for Melissa J Knickerbocker is 1154501716 and holds a License No. 003222 (CT). The current practice location address for Melissa J Knickerbocker is 45 Meriden Ave, Southington, CT 06489-3214 and can be reached out via phone at 860-378-1234.

Provider Profile Details

NPI Number
1154501716
Provider Name
Melissa J Knickerbocker
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
45 Meriden Ave, Southington, CT 06489-3214
Phone Number
860-378-1234
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
November 11, 2007
Last Update Date
November 11, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
45 Meriden Ave
Southington, CT 06489-3214
Zip
06489-3214
Phone Number
860-378-1234
Southington, CT 06489Get directions →

Provider Business Mailing Address Details

Address
422 Westland Ave
Cheshire, CT 06410-3142
City
Cheshire
State
CT
Zip
06410-3142

License Information

License Number
003222
License State
CT
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Melissa J Knickerbocker, OTR/L?

The NPI number of Mrs. Melissa J Knickerbocker, OTR/L is 1154501716. It was assigned on November 11, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Melissa J Knickerbocker, OTR/L?

Mrs. Melissa J Knickerbocker, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in CT under license number 003222.

Where does Mrs. Melissa J Knickerbocker, OTR/L practice?

The practice location is 45 Meriden Ave, Southington, CT 06489-3214. The office can be reached at 860-378-1234 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154501716 directly on the NPPES registry website.

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