Melinda Elizabeth Helen Murray, OT

Individual provider Active NPI Occupational Therapist · Ponderay, ID

NPI 1124215025 · NPPES record last updated May 4, 2026

Key facts

NPI
1124215025
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT-1744 (ID)
Practice address
30544 Highway 200 Ste 326
Ponderay, ID 83852-5042
Phone
(208) 205-9559
NPI assigned
Sep 25, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare Care Compare profile

Specialty
Occupational Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shellman Inc PA (45 clinicians)

Practice addresses (Care Compare)

30544 Hwy 200
Suite 326
Ponderay, ID 83852-5042
Phone (208) 205-9559

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in HI, ID

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20110623000529 HI Practitioner - Occupational Therapist in Private Practice 4789862673
I20171110000963 ID Practitioner - Occupational Therapist in Private Practice 4789862673 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
OT-1744IDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kauai in-Home Therapy Plus Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT-1744 ID Yes

Addresses

Primary practice location

30544 Highway 200 Ste 326
Ponderay, ID 83852-5042

Mailing address

1917 N Lakewood Dr
Coeur D Alene, ID 83814-2634

Other providers in Ponderay, ID

All providers in Ponderay, ID · Occupational Therapist in Idaho

Sources for this page

Verify at the official NPI Registry.