Healthcare Provider Details

I. General information

NPI: 1518326313
Provider Name (Legal Business Name): MELISSA R JAMES OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2016
Last Update Date: 12/27/2023
Certification Date: 12/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3326 AUSTIN BLUFFS PKWY STE 110
COLORADO SPRINGS CO
80918-5752
US

IV. Provider business mailing address

2210 LELARAY ST
COLORADO SPRINGS CO
80909-2220
US

V. Phone/Fax

Practice location:
  • Phone: 719-912-2110
  • Fax: 719-400-0413
Mailing address:
  • Phone: 719-475-0477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT.0004579
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: