Active NPI
Melissa Sue Fellenz, OTR/L
- Pediatric Occupational Therapist
- Helena, MT
National Provider Identifier
1114199916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OTP-OT-LIC-8684
- Practice address
- 104 W Custer Ave Ste 5
Helena, MT 59602-0106 - Phone
- (406) 422-7729
- NPI assigned
- Apr 1, 2008
- Last updated
- May 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OTP-OT-LIC-8684 | MT | Primary |
Addresses
Primary practice location
104 W Custer Ave Ste 5
Helena, MT 59602-0106
Mailing address
8586 Canyon Ferry Rd
Helena, MT 59602-8522
Phone (715) 944-6229
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTP-OT-LIC-8684 | MT | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helena Occupational Therapy Specialists | Pediatrics | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Occupational Therapist
- Helena, MT
- NPI 1366855116
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1114199916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8586 CANYON FERRY RD",
"city": "HELENA",
"state": "MT",
"postal_code": "596028522",
"telephone_number": "715-944-6229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W CUSTER AVE STE 5",
"city": "HELENA",
"state": "MT",
"postal_code": "596020106",
"telephone_number": "406-422-7729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELLENZ",
"first_name": "MELISSA",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-01",
"last_updated": "2023-05-24",
"certification_date": "2023-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MT",
"license": "OTP-OT-LIC-8684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.