Emily Mellendorf, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201008091 Issued in MI

Practice address

9090 Cayuga Dr
Clarkston, MI 48348-3202

Phone

(248) 897-1785

NPI assigned

Jan 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Living Solutions Plus PLLCGroup PAC ID 5294194379, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Living Solutions Plus PLLC

  • Occupational Therapist
  • Lake Orion, MI
  • NPI 1689379323
  Medicare reassignment Care Compare group NPD
• Fox Rehabilitation Services Mi LLC

  • Physical Therapist
  • Canton, MI
  • NPI 1790324648

  Occupational Therapist

  Medicare reassignment NPD
• The OT Continuum PLLC

  • Occupational Therapist
  • Lake Orion, MI
  • NPI 1326935966
  NPD

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1376900480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9090 CAYUGA DR",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483483202",
            "telephone_number": "248-897-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9090 CAYUGA DR",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483483202",
            "telephone_number": "248-897-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLENDORF",
        "first_name": "EMILY",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201008091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather A Medrano, MA, LPC
• Jeremiah David Meeker
• Marie Anna Megahan, M.A. IN COUNSELING
• Shannon Megiveron, LLPC
• Maggie Mehmetaj
• Kathryn Menig, LMSW
• Bruce Philip Mercado, D.D.S.
• Mackenzie Mercer, MA
• Rame Merhi
• Olivia Noel Messer, MA, LLPC

• Occupational Therapist in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.