Provider Demographics
NPI:1891941860
Name:BELL, MELISSA ANN (OTR, DRS)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANN
Last Name:BELL
Suffix:
Gender:F
Credentials:OTR, DRS
Other - Prefix:
Other - First Name:MISSY
Other - Middle Name:
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:222 WEST AVE UNIT 2503
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-0028
Mailing Address - Country:US
Mailing Address - Phone:512-689-0236
Mailing Address - Fax:855-960-0144
Practice Address - Street 1:222 WEST AVE UNIT 2503
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-0028
Practice Address - Country:US
Practice Address - Phone:512-689-0236
Practice Address - Fax:855-960-0144
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-11
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110741225X00000X, 225XP0200X, 225XR0403X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XR0403XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistDriving and Community MobilityGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics