| 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 Therapist In Private Practice |
| Experience | 21 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 | 271 |
| 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 | |
Mrs. Winifred Feimster Connolly, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 541 Gaither Rd, Statesville, NC 28625 Phone: 704-755-4660 Fax: 843-631-6533 | |
Kate Nicole Mehrkens, 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 | |
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 |