Individual provider Active NPI

Alejandra Nataly Luna Melendez, OTD, OTR/L

  • Occupational Therapist
  • Chicago, IL
National Provider Identifier
1497571582
Registry record updated Nov 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.016219 Issued in IL
Practice address
4621 S Fairfield Ave Apt 1
Chicago, IL 60632-1940
Phone
(773) 837-4172
NPI assigned
Nov 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 056.016219 IL Primary

Addresses

Primary practice location

4621 S Fairfield Ave Apt 1
Chicago, IL 60632-1940

Mailing address

4621 S Fairfield Ave Apt 1
Chicago, IL 60632-1940
Phone (773) 837-4172

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
056.016219ILMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1732320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732320000000",
    "number": "1497571582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 S FAIRFIELD AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606321940",
            "telephone_number": "773-837-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4621 S FAIRFIELD AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606321940",
            "telephone_number": "773-837-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNA MELENDEZ",
        "first_name": "ALEJANDRA",
        "middle_name": "NATALY",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-23",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.016219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2024; 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.