Mrs Melissa Gottheim Wildt, OT | |
2147 Davie Ave, Gardens Of Statesville, Statesville, NC 28625-9200 | |
(704) 878-8689 | |
Not Available |
Full Name | Mrs Melissa Gottheim Wildt |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 20 Years |
Location | 2147 Davie Ave, Statesville, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093751455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 9242 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Comprehensive Therapeutics Ltd | 8921230137 | 247 |
Provider Name | Comprehensive Therapeutics Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619575651 PECOS PAC ID: 8921230137 Enrollment ID: O20201130001750 |
Mailing Address | Practice Location Address |
---|---|
Mrs Melissa Gottheim Wildt, OT 2222 Sullivan Trl, Easton, PA 18040-7958 Ph: (610) 991-2034 | Mrs Melissa Gottheim Wildt, OT 2147 Davie Ave, Gardens Of Statesville, Statesville, NC 28625-9200 Ph: (704) 878-8689 |
Emily Minton, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 129 N Tradd St, Statesville, NC 28677 Phone: 704-380-0799 Fax: 704-380-0799 | |
Taylor Alexis Martin, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 541 Gaither Rd, Statesville, NC 28625 Phone: 704-775-4660 Fax: 704-775-4466 | |
Andi Tam, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 557 Brookdale Dr, Statesville, NC 28677 Phone: 704-873-5661 | |
Ms. Donnielle Lauren Rome-martin, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 129 N Tradd St, Statesville, NC 28677 Phone: 516-455-9860 | |
Mrs. Kristen Sara Karanikas, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 125 W Broad St, Statesville, NC 28677 Phone: 704-775-4466 | |
Alexis Elleane King, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 541 Gaither Rd, Statesville, NC 28625 Phone: 704-775-4660 Fax: 704-775-4466 |