Provider Demographics
NPI:1538482799
Name:PIERCE, MELISSA KAYE (OTR)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:KAYE
Last Name:PIERCE
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Gender:F
Credentials:OTR
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Mailing Address - Street 1:PO BOX 111878
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77293-0878
Mailing Address - Country:US
Mailing Address - Phone:713-320-2670
Mailing Address - Fax:713-583-7597
Practice Address - Street 1:2656 S LOOP W STE 130
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2772
Practice Address - Country:US
Practice Address - Phone:281-786-4234
Practice Address - Fax:713-583-7597
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-02
Last Update Date:2022-11-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX113673225X00000X, 225XF0002X, 225XP0200X, 225XF0002X, 225XH1300X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No225XF0002XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistFeeding, Eating & Swallowing
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty
No225XH1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHuman Factors
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3425787-01Medicaid