Individual provider Active NPI

Melissa West

  • Occupational Therapist
  • Raleigh, NC
National Provider Identifier
1164824793
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
13517 Issued in NC
Practice address
4909 Waters Edge Dr
Raleigh, NC 27606-0039
Phone
(919) 285-1647
NPI assigned
Sep 26, 2014
Reactivated
Jun 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 13517 NC Primary

Addresses

Primary practice location

4909 Waters Edge Dr
Raleigh, NC 27606-0039

Mailing address

4909 Waters Edge Dr
Raleigh, NC 27606-0039
Phone (919) 285-1647

Other names 1

  • Melissa House Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240405003413 NC Practitioner - Occupational Therapist in Private Practice 6204274459 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13517NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage OT Inc. Occupational Therapist CurrentSince Apr 1, 2024 Accepting new patients
Advantage OT, PC Occupational Therapist CurrentSince Apr 1, 2024 Accepting new patients

Locations

160 N NC 241 Hwy
Beulaville, NC 28518
Phone (888) 258-6905

145 Nashville Commons Dr
Nashville, NC 27856
Phone (845) 416-0599

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": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1164824793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 WATERS EDGE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276060039",
            "telephone_number": "919-285-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 WATERS EDGE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276060039",
            "telephone_number": "919-285-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-26",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "deactivation_date": "2021-06-29",
        "reactivation_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "13517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "HOUSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.