Melissa Marie Flynn, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

L753949 Issued in MI

Practice address

41150 Woodward Ave
Bloomfield Hills, MI 48304-5020

Phone

(248) 955-4956

NPI assigned

Nov 15, 2015

Last updated

Nov 17, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1447545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1801260815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18774 CANTERBURY DR",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41150 WOODWARD AVE",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045020",
            "telephone_number": "248-955-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-15",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "L753949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Firoza B. Van Horn, Psy., D., PC.
• Diane Marie Fischer, PH.D.
• Laura Danielle Fishman, LMSW, ACSW
• Thomas James Fleszar, DDS
• Mark Edward Florek, M.D.
• Jessica Foksa, M.A., L.P.C.
• Hillary Follis, LLMSW
• Forever Oak Health Center, PLC. (Forever Oak Health Center)
• Gary Anthony Forgach, DDS
• Ryan David Forster, M.D.

• Occupational Therapist in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.