Active NPI
Melissa Tuell, MOT, OTR/L
- Occupational Therapist
- Danville, CA
National Provider Identifier
1669842282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4196
- Practice address
- 4101 Whispering Oaks Lane
Danville, CA 94506 - Phone
- (925) 570-0011
- NPI assigned
- Sep 26, 2015
- 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 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 12166 | MA | |
| Occupational Therapist | 225X00000X | 0119007003 | VA | |
| Occupational Therapist | 225X00000X | 0006463 | CO | |
| Occupational Therapist | 225X00000X | 2008 | HI | |
| Occupational Therapist | 225X00000X | 63-020176 | NY | |
| Occupational Therapist | 225X00000X | 010001132 | DC | |
| Occupational Therapist | 225X00000X | 3903 | ME | |
| Occupational Therapist | 225X00000X | 15-0629 | NV | |
| Occupational Therapist | 225X00000X | 17321 | FL | |
| Occupational Therapist | 225X00000X | 60536791 | WA | |
| Occupational Therapist | 225X00000X | 1111 | WY | |
| Occupational Therapist | 225X00000X | 48-005520 | CT | |
| Occupational Therapist | 225X00000X | 4196 | CA | Primary |
Addresses
Primary practice location
4101 Whispering Oaks Lane
Danville, CA 94506
Mailing address
160 Alamo PLZ Unit 1087
Alamo, CA 94507-4062
Phone (925) 570-0011
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1111 | WY | MD | General Practice Dentistry |
| 2008 | HI | MD | Pediatric Dentist |
| 4196 | CA | MD | Occupational Therapist |
| 48-005520 | CT | MD | Occupational Therapist |
| 010001132 | DC | MD | Occupational Therapist |
| 17321 | FL | MD | Occupational Therapist |
| 12166 | MA | MD | Occupational Therapist |
| 3903 | ME | MD | Occupational Therapist |
| 15-0629 | NV | MD | Occupational Therapist |
| 63-020176 | NY | MD | Occupational Therapist |
| 0119007003 | VA | MD | Occupational Therapist |
| 60536791 | WA | MD | Occupational Therapist |
| 0006463 | CO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678320000000",
"number": "1669842282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 ALAMO PLZ UNIT 1087",
"city": "ALAMO",
"state": "CA",
"postal_code": "945074062",
"telephone_number": "925-570-0011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 WHISPERING OAKS LANE",
"city": "DANVILLE",
"state": "CA",
"postal_code": "94506",
"telephone_number": "925-570-0011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUELL",
"first_name": "MELISSA",
"credential": "MOT, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-26",
"last_updated": "2023-03-09",
"certification_date": "2023-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "12166",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119007003",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "0006463",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "HI",
"license": "2008",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "63-020176",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "DC",
"license": "010001132",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ME",
"license": "3903",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NV",
"license": "15-0629",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "17321",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "60536791",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WY",
"license": "1111",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "48-005520",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "4196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.