Active NPI
Melissa O'Neill, MOT
- Occupational Therapist
- Grass Lake, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201010058
- Practice address
- 11545 Warrior TRL
Grass Lake, MI 49240-9814 - Phone
- (248) 660-5484
- NPI assigned
- Mar 2, 2022
- Last updated
- May 18, 2022
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WA
Enrollment records 7
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT22852 | FL | MD | Occupational Therapist |
| OT0101339 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Xrhealth USA Inc | Current | Accepting new patients | |
| Xrhealth USA Inc | Past | 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.
-
- Physical Medicine & Rehabilitation Physician
- Needham, MA
- NPI 1902449176
FL, MI, NJ, NY, TX, WA
-
- Durable Medical Equipment & Medical Supplies
- Needham, MA
- NPI 1073260808
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.