Tetisheri Menna, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT013238 Issued in OH

Practice address

4160 Little York Rd Ste 10
Dayton, OH 45414-5803

Phone

(937) 415-9100

Fax

(937) 415-9191

NPI assigned

May 16, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Orthopedic Associates of SW Ohio, Inc

  • Orthopaedic Surgery Physician
  • Dayton, OH
  • NPI 1447422118
  Medicare reassignment NPD
• Orthopedic Associates of S W Ohio Inc,

  • Orthopaedic Surgery Physician
  • Fairborn, OH
  • NPI 1609387984
  NPD

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

{
    "created_epoch": "1589587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1205458858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6551 CENTERVILLE BUSINESS PKWY STE 120",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592696",
            "telephone_number": "937-415-9100",
            "fax_number": "937-415-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 LITTLE YORK RD STE 10",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454145803",
            "telephone_number": "937-415-9100",
            "fax_number": "937-415-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENNA",
        "first_name": "TETISHERI",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-16",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT013238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0117904",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sylvia D. Melton
• James Mendenhall, CDCA
• Lorena Lee Mendenhall
• SE'Errin Mendez
• Haiying Meng
• Mentoring 1 on 1
• Valerie Menzo
• Angel J Mercado, OD
• Titania Merchant
• Andrea Mercuri

• Occupational Therapist in Dayton, OH
• Providers in Dayton, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.