Provider Demographics
NPI:1518326313
Name:JAMES, MELISSA R (OTD, OTR/L)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:R
Last Name:JAMES
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2210 LELARAY ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-2220
Mailing Address - Country:US
Mailing Address - Phone:719-475-0477
Mailing Address - Fax:
Practice Address - Street 1:3326 AUSTIN BLUFFS PKWY STE 110
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-5752
Practice Address - Country:US
Practice Address - Phone:719-912-2110
Practice Address - Fax:719-400-0413
Is Sole Proprietor?:No
Enumeration Date:2016-02-22
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0004579225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics