Provider Demographics
NPI:1083816896
Name:SCHOFIELD, MELISSA ANNE (OTR/L, OTD)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANNE
Last Name:SCHOFIELD
Suffix:
Gender:F
Credentials:OTR/L, OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5111 CONNECTICUT AVE NW
Mailing Address - Street 2:SUNRISE ON CONNECTICUT AVE
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008
Mailing Address - Country:US
Mailing Address - Phone:202-966-0127
Mailing Address - Fax:202-966-0182
Practice Address - Street 1:5111 CONNECTICUT AVE NW
Practice Address - Street 2:SUNRISE ON CONNECTICUT AVE
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008
Practice Address - Country:US
Practice Address - Phone:202-966-0127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2014-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA08372225X00000X
DCOT010000869225X00000X
CAOT8944225X00000X
MAOT08372225X00000X
FLOT11413225X00000X
VA0119006175225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA08372OtherLICENSE
RI01011OtherLICENSE
FL11413OtherLICENSE
CA8944OtherLICENSE