Melissa L Adlington, OT

Individual provider Active NPI Occupational Therapist · Appleton, WI

NPI 1558535252 · NPPES record last updated Apr 15, 2008

Key facts

NPI
1558535252
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
4509-26 (WI)
Practice address
1650 Tri Park Way
Suite a
Appleton, WI 54914-1601
Phone
(920) 830-6697
Fax
(920) 830-6707
NPI assigned
Apr 15, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4509-26WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blankenheim Occupational Therapy Occupational Therapist Past Accepting new patients
Blankenheim Services, LLC Occupational Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4509-26 WI Yes

Addresses

Primary practice location

1650 Tri Park Way
Suite a
Appleton, WI 54914-1601

Mailing address

1650 Tri Park Way
Suite a
Appleton, WI 54914-1601
Phone (920) 830-6697

Other providers in Appleton, WI

All providers in Appleton, WI · Occupational Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.