Individual provider Active NPI

Melissa L Genovese, OTR/L

  • Occupational Therapist
  • Coeur d'Alene, ID
National Provider Identifier
1700287984
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC21024 Issued in PA
Practice address
212 W Ironwood Dr # D654
Coeur D Alene, ID 83814-1403
Phone
(000) 000-0000
NPI assigned
Sep 8, 2014
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTP-OT-LIC-7695 MT
Occupational Therapist 225X00000X 7726 SC
Occupational Therapist 225X00000X OT60503979 WA
Occupational Therapist 225X00000X 115164 TX
Occupational Therapist 225X00000X OT-1356 ID
Occupational Therapist 225X00000X 12-0269 NV
Occupational Therapist 225X00000X 6825 AL
Occupational Therapist 225X00000X 7235 TN
Occupational Therapist 225X00000X OT-1538 WY
Occupational Therapist 225X00000X OC21024 PA Primary

Addresses

Primary practice location

212 W Ironwood Dr # D654
Coeur D Alene, ID 83814-1403

Mailing address

212 W Ironwood Dr # D654
Coeur D Alene, ID 83814-1403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, PA, TX, SC, AL5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20240509001002 TN Practitioner - Occupational Therapist in Private Practice 1254723885 Reassigns benefits to 3 organizations
I20250923003857 PA Practitioner - Occupational Therapist in Private Practice 1254723885 Reassigns benefits to 1 organization
I20251002004073 TX Practitioner - Occupational Therapist in Private Practice 1254723885 Reassigns benefits to 2 organizations
I20251008001377 SC Practitioner - Occupational Therapist in Private Practice 1254723885 Reassigns benefits to 3 organizations
I20251104004081 AL Practitioner - Occupational Therapist in Private Practice 1254723885 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

1608 Gunbarrel Rd
Suite 103
Chattanooga, TN 37421-7244
Phone 42389280707244

1672 N Main St
Suite 11
Summerville, SC 29486-7811
Phone (843) 289-1456

22083 US Hwy 72
Athens, AL 35613-2666
Phone (258) 216-1040

5220 Park Ave
Suite 201
Memphis, TN 38119-3549
Phone (901) 683-9630

5729 Lebanon Rd
Frisco, TX 75034-7259
Phone (769) 731-4888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7235TNMDDental Hygienist
7726SCMDPhysical Therapist
6825ALMDOccupational Therapist
OT-1356IDMDOccupational Therapist
OTP-OT-LIC-7695MTMDOccupational Therapist
12-0269NVMDOccupational Therapist
OC21024PAMDOccupational Therapist
115164TXMDOccupational Therapist
OT60503979WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy-Alabama, LLC CurrentSince Oct 15, 2025 Accepting new patients
Drayer Physical Therapy Institute LLC Occupational Therapist CurrentSince Sep 9, 2025 Accepting new patients
Drayer Physical Therapy - South Carolina, LLC Occupational Therapist CurrentSince Sep 4, 2025 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Apr 29, 2024 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Apr 29, 2024 Accepting new patients
Drayer Physical Therapy Alabama LLC CurrentSince Oct 15, 2025 Accepting new patients
Benchmark Health Services Occupational Therapist CurrentSince Sep 4, 2025 Accepting new patients
Agilitas USA, Inc Occupational Therapist CurrentSince Jul 29, 2025 Accepting new patients
Drayer Physical Therapy Institute LLC Occupational Therapist Current Accepting new patients
Benchmark Physical Therapy of Alabama, LLC Occupational Therapist CurrentSince Oct 15, 2025 Accepting new patients
Peak Physical Therapy, LLC Occupational Therapist CurrentSince Aug 11, 2025 Accepting new patients
Results-Ast JV, LLC Occupational Therapist CurrentSince Jul 29, 2025 Accepting new patients
Benchmark Healthcare Services, LLC Occupational Therapist CurrentSince Sep 4, 2025 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Occupational Therapist CurrentSince Sep 4, 2025 Accepting new patients
Drayer Physical Therapy Institute LLC CurrentSince Sep 9, 2025 Accepting new patients
Agilitas USA Inc Occupational Therapist CurrentSince Jul 29, 2025 Accepting new patients
Peak Physical Therapy, LLC Occupational Therapist CurrentSince Aug 11, 2025 Accepting new patients
Davis Home Health LLC PastSince Mar 27, 2022 Accepting new patients
Power Basin Therapy LLC Occupational Therapist Past Accepting new patients

Locations (25 of 27)

22083 US Highway 72
Athens, AL 35613
Phone (258) 216-1040

2900 E University Dr
Ste 130
Auburn, AL 36830
Phone (334) 209-0996

153 Narrows Pkwy
Ste 101
Birmingham, AL 35242
Phone (205) 640-4881

2215 Decatur Hwy
Ste 125
Gardendale, AL 35071
Phone (205) 285-8790

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

4601 Whitesburg Dr SE
Ste 102
Huntsville, AL 35802
Phone (256) 883-1734

2555 Highway 78 E
Jasper, AL 35501
Phone (205) 385-7919

110 Horizon Dr
#310
Raleigh, NC 27615

152 E Market St
Ste 200
Lewistown, PA 17044
Phone (717) 242-4840

135 Blythewood Rd
#J
Blythewood, SC 29016
Phone (803) 851-1037

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

7955 N Kings Hwy
Ste 330
Myrtle Beach, SC 29572
Phone (843) 945-1815

3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772

1672 N Main St
Ste 11
Summerville, SC 29486
Phone (843) 289-1456

3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

222 22nd Ave N
Ste 100
Nashville, TN 37203
Phone (615) 284-2222

2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080

1335 E Whitestone Blvd
#100
Cedar Park, TX 78613
Phone (512) 539-0032

104 E US Highway 80
Ste 180
Forney, TX 75126
Phone (972) 564-3390

5729 Lebanon Rd
Ste 120
Frisco, TX 75034
Phone (469) 731-4888

10100 Katy Fwy
Ste 170
Houston, TX 77043
Phone (832) 795-9175

3351 Regent Blvd
Ste 140A
Irving, TX 75063
Phone (214) 774-2995

8619 Broadway St
Ste 205
Pearland, TX 77584
Phone (832) 500-7699

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1700287984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W IRONWOOD DR # D654",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838141403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W IRONWOOD DR # D654",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838141403",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENOVESE",
        "first_name": "MELISSA",
        "middle_name": "L",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MT",
            "license": "OTP-OT-LIC-7695",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "7726",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60503979",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "115164",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT-1356",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "12-0269",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "6825",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "7235",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OT-1538",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC21024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.