Melissa Diane Barahona, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

149854 Issued in AK

Practice address

3300 Providence Dr Ste B201
Anchorage, AK 99508-4621

Phone

(907) 212-3116

Fax

(907) 212-2570

NPI assigned

Aug 22, 2019

Last updated

Jan 5, 2021By the provider in NPPES

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 names 1

• Melissa Diane Breyer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1659928810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084105",
            "telephone_number": "866-907-1068",
            "fax_number": "425-917-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 PROVIDENCE DR STE B201",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084621",
            "telephone_number": "907-212-3116",
            "fax_number": "907-212-2570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5432 E Northern Lights Blvd # 427",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995084713",
            "country_code": "US",
            "telephone_number": "907-205-4366",
            "fax_number": "877-409-9161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARAHONA",
        "first_name": "MELISSA",
        "middle_name": "DIANE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "149854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "BREYER",
            "middle_name": "DIANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shuang Ying Bao, M.D.
• Caroline Vemma Bapi
• Arch Ivanoff Baptiste
• Jyotis Baquiran
• Mary Grace Baquiran
• Rosalba Barajas
• Gloria Mendiola Barbachano, R.N.
• Mark R J Barbee, DC
• Adrian Gordon Barber, DC
• Breanna Rose Barber

• Occupational Therapist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Occupational Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.