Active NPI
Melinda Holder, OTR/L
- Occupational Therapist
- Tempe, AZ
National Provider Identifier
1609383140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 819 N College Ave Unit I123
Tempe, AZ 85281-1257 - Phone
- (253) 736-3779
- NPI assigned
- Jan 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
819 N College Ave Unit I123
Tempe, AZ 85281-1257
Mailing address
819 N College Ave Unit I123
Tempe, AZ 85281-1257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7310 N 16TH St
Phoenix, AZ 85020-5258
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Therapy LLC | Current | Accepting new patients | |
| Focus Physical Therapy LLC | Current | Accepting new patients |
Locations
7310 N 16th St
Ste 100
Phoenix, AZ 85020
7400 E McDonald Dr
Ste 105
Scottsdale, AZ 85250
Phone (480) 315-9757
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.
-
- Rehabilitation Clinic/Center
- Phoenix, AZ
- NPI 1811227093
-
- Physical Therapist
- Scottsdale, AZ
- NPI 1346955994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515110400000",
"number": "1609383140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 N COLLEGE AVE UNIT I123",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852811257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 N COLLEGE AVE UNIT I123",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852811257",
"telephone_number": "253-736-3779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDER",
"first_name": "MELINDA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-05",
"last_updated": "2018-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; 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.