Ashley S Melbostad, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

104447 Issued in MN

Practice address

2104 Northdale Blvd NW Ste 100
Coon Rapids, MN 55433-3045

Phone

(763) 755-5495

Fax

(763) 862-0342

NPI assigned

Jan 4, 2012

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Novacare Outpatient Rehabilitation East Inc

  • Physical Therapy Clinic/Center
  • Fridley, MN
  • NPI 1558610519
  Medicare reassignment

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1821368184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 NORTHDALE BLVD NW STE 100",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554333045",
            "telephone_number": "763-755-5495",
            "fax_number": "763-862-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 NORTHDALE BLVD NW STE 100",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554333045",
            "telephone_number": "763-755-5495",
            "fax_number": "763-862-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELBOSTAD",
        "first_name": "ASHLEY",
        "middle_name": "S",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-04",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "104447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "056-009472",
            "identifier": "056-009472",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mediation Services for Anoka County
• Ayesha Mehfooz, M.B,B.S.
• Ryan A Meihack, CRNA
• Ladonna Rae Meinecke, LICSW
• Michelle L Meiser, DDS
• Michelle Sharice Meldaus
• Nicole Marie Melich
• Nina Mary Melin
• Menage Home Care Services LLC
• Savannah Jane Bernardo Mendoza, BCBA, LBA

• Occupational Therapist in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.