Individual provider Active NPI

Melissa O'Neill, MOT

  • Occupational Therapist
  • Grass Lake, MI
National Provider Identifier
1144976960
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201010058 Issued in MI
Practice address
11545 Warrior TRL
Grass Lake, MI 49240-9814
Phone
(248) 660-5484
NPI assigned
Mar 2, 2022
Last updated
May 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201010058 MI Primary
Occupational Therapist 225X00000X OT22852 FL
Occupational Therapist 225X00000X NU
Occupational Therapist 225X00000X 14464 MA
Occupational Therapist 225X00000X OT0101339 OH

Addresses

Primary practice location

11545 Warrior TRL
Grass Lake, MI 49240-9814

Mailing address

11545 Warrior TRL
Grass Lake, MI 49240-9814
Phone (248) 660-5484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL, MA, NY, TX, NJ, WA7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20220314000751 MI Practitioner - Occupational Therapist in Private Practice 6406241280 Reassigns benefits to 1 organization
I20220321000116 FL Practitioner - Occupational Therapist in Private Practice 6406241280 Reassigns benefits to 1 organization
I20220524000928 MA Practitioner - Occupational Therapist in Private Practice 6406241280 Reassigns benefits to 1 organization
I20230117002562 NY Practitioner - Occupational Therapist in Private Practice 6406241280 Reassigns benefits to 1 organization
I20230410002045 TX Practitioner - Occupational Therapist in Private Practice 6406241280 Reassigns benefits to 1 organization
I20230413002683 NJ Practitioner - Occupational Therapist in Private Practice 6406241280 Reassigns benefits to 1 organization
I20240806001097 WA Practitioner - Occupational Therapist in Private Practice 6406241280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Xrhealth USA IncGroup PAC ID 2264867704, 31 clinicians

Practice addresses (Care Compare)

Somerset, NJ 08873
Phone (857) 990-6111

Clarence Center, NY 14032
Phone (857) 990-6111

Destin, FL 32541
Phone (857) 990-6111

Grass Lake, MI 49240
Phone (857) 990-6111

La Vernia, TX 78121
Phone (857) 990-6111

Olympia, WA 98501
Phone (857) 990-6111

300 1St Ave
Suite 103
Needham, MA 02494-2759
Phone (857) 990-6111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT22852FLMDOccupational Therapist
OT0101339OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Xrhealth USA Inc CurrentSince Mar 11, 2022 Accepting new patients
Xrhealth USA Inc PastSince Jul 16, 2023 Accepting new patients

Locations

177 Huntington Ave
Ste 1703
Boston, MA 02115
Phone (413) 687-4951

1330 Beacon St
Ste 209
Brookline, MA 02446
Phone (857) 706-4907

200 Highland Ave
Ste 202
Needham Heights, MA 02494
Phone (850) 687-6000

300 1st Ave
Ste 103
Needham Heights, MA 02494
Phone (888) 977-6828

711 Capitol Way S
Ste 204
Olympia, WA 98501
Phone (602) 499-5303

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1144976960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11545 WARRIOR TRL",
            "city": "GRASS LAKE",
            "state": "MI",
            "postal_code": "492409814",
            "telephone_number": "248-660-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11545 WARRIOR TRL",
            "city": "GRASS LAKE",
            "state": "MI",
            "postal_code": "492409814",
            "telephone_number": "248-660-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201010058",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT22852",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "14464",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT0101339",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.