Individual provider Active NPI

Emily Merollis, MOTR/L

  • Occupational Therapist
  • Portland, OR
National Provider Identifier
1265862353
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
316739 Issued in OR
Practice address
11 NE MLK Jr Blvd Ste 202
Portland, OR 97232-3579
Phone
(971) 337-6372
Fax
(503) 594-1222
NPI assigned
Nov 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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 316739 OR Primary

Addresses

Primary practice location

11 NE MLK Jr Blvd Ste 202
Portland, OR 97232-3579

Mailing address

2444 SW 87TH Ave
Portland, OR 97225-4006
Phone (971) 337-6352

Other identifiers 1

IdentifierTypeStateIssuer
1265862353OtherOT NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190626000720 OR Practitioner - Occupational Therapist in Private Practice 2264766203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emily Merollis Consulting LLCGroup PAC ID 9032443973, 10 clinicians

Practice addresses (Care Compare)

11 NE MLK Jr Blvd
Suite 202
Portland, OR 97232-3579
Phone (971) 337-6372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
316739ORMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Merollis Consulting LLC CurrentSince Mar 18, 2019 Accepting new patients

Locations

11 NE Mlk Jr Blvd
Ste 202
Portland, OR 97232
Phone (971) 337-6372

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1265862353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2444 SW 87TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972254006",
            "telephone_number": "971-337-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 NE MLK JR BLVD STE 202",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323579",
            "telephone_number": "971-337-6372",
            "fax_number": "503-594-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEROLLIS",
        "first_name": "EMILY",
        "credential": "MOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "316739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT NPI",
            "identifier": "1265862353",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.