Active NPI
Melissa Lynn Daul, OTR
- Occupational Therapist
- Waterford, MI
National Provider Identifier
1245362060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201006640
- Practice address
- 5210 Highland Rd
Suite 100
Waterford, MI 48327-1970 - Phone
- (248) 674-9560
- Fax
- (248) 674-9562
- NPI assigned
- Mar 9, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 5201006640 | MI | |
| Occupational Therapist | 225X00000X | 5201006640 | MI | Primary |
Addresses
Primary practice location
5210 Highland Rd
Suite 100
Waterford, MI 48327-1970
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other names 1
- Melissa Lynn Thurmond
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5798 Highland Rd
Waterford, MI 48327-1826
Phone (248) 724-4400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Hand & Rehabilitation, LLC | Occupational Therapist | Current | Accepting new patients |
| Comprehensive Hand & Rehabilitation, LLC | Hand | Current | Accepting new patients |
| William Sterling Margaret LLC | Past | Accepting new patients |
Locations
5798 Highland Rd
Waterford, MI 48327
Phone (248) 724-4400
Organizations & group practices 3
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.
-
- Hand Occupational Therapist
- Waterford, MI
- NPI 1508213315
-
- Prosthetic/Orthotic Supplier
- Bloomfield Hills, MI
- NPI 1538613260
Hand
-
dba Excel Rehabilitation Services
- Physical Therapist
- Novi, MI
- NPI 1003946625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415923200000",
"number": "1245362060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223",
"fax_number": "630-759-3251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5210 HIGHLAND RD",
"address_2": "SUITE 100",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483271970",
"telephone_number": "248-674-9560",
"fax_number": "248-674-9562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAUL",
"first_name": "MELISSA",
"middle_name": "LYNN",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2014-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "MI",
"license": "5201006640",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201006640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "THURMOND",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.