Individual provider Active NPI

Maria Melbo, COTA/L

  • Occupational Therapy Assistant
  • Saint Cloud, MN
National Provider Identifier
1457271439
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
202931 Issued in MN
Practice address
1717 University Dr SE
Saint Cloud, MN 56304-2023
Phone
(320) 251-9120
NPI assigned
Jul 20, 2026
Last updated
Jul 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 202931 MN Primary

Addresses

Primary practice location

1717 University Dr SE
Saint Cloud, MN 56304-2023

Mailing address

555 Victory Ave Apt 204
Sartell, MN 56377-4813

Other practice location 1

410 Luella St
Watkins, MN 55389-1012
Phone (320) 764-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
202931MNMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1457271439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 VICTORY AVE APT 204",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 UNIVERSITY DR SE",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563042023",
            "telephone_number": "320-251-9120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Luella St",
            "address_purpose": "LOCATION",
            "city": "Watkins",
            "state": "MN",
            "postal_code": "553891012",
            "country_code": "US",
            "telephone_number": "320-764-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELBO",
        "first_name": "MARIA",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MN",
            "license": "202931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.