Carolyn Melyon, MOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6437 Issued in AZ

Practice address

17100 E Shea Blvd Ste 225
#225
Fountain Hills, AZ 85268-6744

Phone

(480) 837-4565

NPI assigned

Jan 19, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Theracare PLLC

  • Occupational Therapist
  • Peoria, AZ
  • NPI 1962784249
  Medicare reassignment NPD

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1609233816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 E SHEA BLVD STE 225",
            "address_2": "#225",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852686744",
            "telephone_number": "480-837-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 E SHEA BLVD STE 225",
            "address_2": "#225",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852686744",
            "telephone_number": "480-837-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELYON",
        "first_name": "CAROLYN",
        "name_prefix": "Mrs.",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "6437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "27-1851322",
            "identifier": "1497087621",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter McGloin, CERT PSYCHOLOGIST
• Megan Elizabeth McGlynn
• Jonathan Lee McGuire, MSN-FNP
• Stephen Medeiros
• Brianna Graciela Mejia-Aguirre
• Mary Memken
• Malia R Menon, OTD
• Mental Edge Neuropsychology
• Rosa Maria Mercado, M.D.
• Minerva C Merriam, MASSAGES THERAPIST

• Occupational Therapist in Fountain Hills, AZ
• Providers in Fountain Hills, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.