Active NPIIndividual provider

Mrs. Melissa E Avery, MSOT, OTR/L

Occupational Therapist in Mystic, Connecticut

NPI Number1447556725
Practice location
265 Colonel Ledyard Hwy, Mystic, CT 06355-1138
Fax
—
Last updated
October 8, 2013

Melissa Elizabeth Avery is an Occupational Therapist based in Mystic, CT. Melissa Elizabeth Avery practices in Mystic, CT and has the professional credentials of MSOT, OTR/L. The NPI Number for Melissa Elizabeth Avery is 1447556725 and holds a License No. 001164 (CT). The current practice location address for Melissa Elizabeth Avery is 265 Colonel Ledyard Hwy, Mystic, CT 06355-1138 and can be reached out via phone at 860-536-0383.

Provider Profile Details

NPI Number
1447556725
Provider Name
Melissa Elizabeth Avery
Credential
MSOT, OTR/L
Provider Entity Type
Individual
Gender
Female
Address
265 Colonel Ledyard Hwy, Mystic, CT 06355-1138
Phone Number
860-536-0383
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
February 2, 2011
Last Update Date
October 8, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
265 Colonel Ledyard Hwy
Mystic, CT 06355-1138
City
Mystic
Zip
06355-1138
Phone Number
860-536-0383
Mystic, CT 06355Get directions →

Provider Business Mailing Address Details

Address
265 Colonel Ledyard Hwy
Mystic, CT 06355-1138
City
Mystic
State
CT
Zip
06355-1138
Phone Number
860-536-0383

License Information

License Number (1)
001164
License State (1)
CT
Taxonomy (1)
Occupational Therapy Assistant · 224Z00000X
License Number (2)
4088
License State (2)
CT
Taxonomy (2)
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 E Avery, MSOT, OTR/L?

The NPI number of Mrs. Melissa E Avery, MSOT, OTR/L is 1447556725. It was assigned on February 2, 2011 and is currently active in the NPPES registry.

What is the specialty of Mrs. Melissa E Avery, MSOT, OTR/L?

Mrs. Melissa E Avery, MSOT, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in CT under license number 001164.

Where does Mrs. Melissa E Avery, MSOT, OTR/L practice?

The practice location is 265 Colonel Ledyard Hwy, Mystic, CT 06355-1138. The office can be reached at 860-536-0383 (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 1447556725 directly on the NPPES registry website.

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