Individual provider Active NPI

Melissa Petcu

  • Occupational Therapist
  • Matthews, NC
National Provider Identifier
1104255033
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
8925 Issued in NC
Practice address
2217 Matthews Township Pkwy Ste D175
Matthews, NC 28105-4815
Phone
(704) 251-4583
Fax
(980) 422-0341
NPI assigned
Nov 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6813 SC
Occupational Therapist 225X00000X 8925 NC Primary

Addresses

Primary practice location

2217 Matthews Township Pkwy Ste D175
Matthews, NC 28105-4815

Mailing address

2217 Matthews Township Pkwy Ste D175
Matthews, NC 28105-4815
Phone (704) 251-4583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8925NCMDGeneral Practice Dentistry
6813SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mint Hill Pediatric Therapy CurrentSince Jun 11, 2023 Accepting new patients

Locations

2217 Matthews Township Pkwy
Ste D
Matthews, NC 28105
Phone (704) 756-4791

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1104255033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 MATTHEWS TOWNSHIP PKWY STE D175",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054815",
            "telephone_number": "704-251-4583",
            "fax_number": "980-422-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 MATTHEWS TOWNSHIP PKWY STE D175",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054815",
            "telephone_number": "704-251-4583",
            "fax_number": "980-422-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETCU",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "6813",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "8925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.