Melissa N Hautala, OTR/L

Key facts

NPI

1144513342

Entity type

Individual (NPI type 1)

Primary specialty

Pediatric Occupational Therapist 225XP0200X

License

5190-26 (WI)

Practice address

6276 Parkview Rd
Greendale, WI 53129-2150

Phone

(920) 213-6158

NPI assigned

May 20, 2011

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

Other names

• Melissa Deets Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 31, 2025.

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1144513342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6276 PARKVIEW RD",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531292150",
            "telephone_number": "920-213-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6276 PARKVIEW RD",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531292150",
            "telephone_number": "920-213-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUTALA",
        "first_name": "MELISSA",
        "middle_name": "N",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-20",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056.008947",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WI",
            "license": "5190-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "DEETS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greendale, WI

• Peggy P Hamby
• Shawn Ann Hannemann, M.S.
• Erin Haugen, D.D.S.
• Tami Hausmann
• Marilyn Ann Hauswirth, RN REGISTERED NURSE
• Steve Hearden, H.I.S.
• Alyssa Rose Henke, PT, DPT
• Teresa Hesselbein, RPH
• Lindsay Kathryn Heus, MS CCC SLP
• Katie L Hoffmeier

All providers in Greendale, WI · Pediatric Occupational Therapist in Wisconsin