Fallon Melillo

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

14752 Issued in NC

Practice address

6034 Heath Valley Rd
Charlotte, NC 28210-4352

Phone

(704) 577-9937

NPI assigned

Sep 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Elite Therapy Services LLC

  • Physical Therapist
  • Charlotte, NC
  • NPI 1255962007

  Occupational Therapist

  NPD
• Jones Therapy Services LLC

  • Pediatric Rehabilitation Medicine Physician
  • Murfreesboro, TN
  • NPI 1811213556

  Occupational Therapist

  NPD
• Pediatric Therapies, Inc

  • Rehabilitation Clinic/Center
  • Franklin, TN
  • NPI 1861666307
  NPD (past)
• Star Physical Therapy LP

  • Rehabilitation Clinic/Center
  • Bolivar, TN
  • NPI 1417404351
  NPD (past)

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1467067488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 AUTUMN SPRINGS CT STE 1A",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678274",
            "telephone_number": "615-614-8833",
            "fax_number": "615-614-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6034 HEATH VALLEY RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104352",
            "telephone_number": "704-577-9937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 Autumn Springs Ct",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370678272",
            "country_code": "US",
            "telephone_number": "615-614-8833",
            "fax_number": "615-614-8811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELILLO",
        "first_name": "FALLON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "14752",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "6655",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melange Solutions, LLC
• Wayne Melcher, RESPIRATORY THERAPY
• Angel Meldorf
• Constance Cook Mele, MSN, RN
• Lisa J. Melfi, CRNA
• Cecelia Brown Melin, CNM
• Gregory Alan Melish, MD
• Melissa Elder Therapy
• Melissa Marks Gustafson, DDS, PA
• Melissa Marks Gustafson, DDS, PA

• Occupational Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.