Melissa Ann Bootz

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5390 Issued in AZ

Practice address

1 W Elliot Rd Ste 109
Tempe, AZ 85284-1310

Phone

(480) 374-4341

NPI assigned

Dec 15, 2019

Last updated

Dec 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empowerme Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1144954074

  Occupational Therapist

  Medicare reassignment NPD
• Empowerme Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Williamsburg, VA
  • NPI 1881366730

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1576368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576368000000",
    "number": "1487292983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5838 E COCHISE RD",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531106",
            "telephone_number": "480-206-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W ELLIOT RD STE 109",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841310",
            "telephone_number": "480-374-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTZ",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-15",
        "last_updated": "2019-12-15",
        "certification_date": "2019-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "5390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Lou Boles, NURSE PRACTITIONER
• Jennifer E Boll, M.D.
• Molly Anne Bond, DC
• Brittany Bonfield, NP
• Elizabeth Boomer
• Stephen Lawrence Borodkin, M.D.
• Sophie Helen Borowski, LCSW 10013
• Clinton Robert Boscamp, D.D.S.
• Lauren Boskie
• Tony Joseph Botelho

• Occupational Therapist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.