Individual provider Active NPI

Melissa Bednard

  • Occupational Therapist
  • Fayetteville, NC
National Provider Identifier
1851017552
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
15471 Issued in NC
Practice address
1830 Owen Dr Ste 103
Fayetteville, NC 28304-3412
Phone
(910) 748-0258
NPI assigned
Oct 13, 2022
Last updated
Oct 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 15471 NC Primary

Addresses

Primary practice location

1830 Owen Dr Ste 103
Fayetteville, NC 28304-3412

Mailing address

45875 Meadows Cir E
Macomb, MI 48044-5348
Phone (586) 203-7186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230620002728 MI Practitioner - Occupational Therapist in Private Practice 1658739826 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15471NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dearborn Speech and Sensory Center, Inc Occupational Therapist CurrentSince May 17, 2023 Accepting new patients
Thera-Peds CurrentSince Apr 1, 2024 Accepting new patients

Locations

44670 Ann Arbor Rd W
Ste 130
Plymouth, MI 48170
Phone (424) 295-8088

1812 S Rochester Rd
Ste 103
Rochester Hills, MI 48307
Phone (248) 260-7020

14153 Rick Dr
Shelby Township, MI 48315
Phone (586) 566-0326

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1851017552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45875 MEADOWS CIR E",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480445348",
            "telephone_number": "586-203-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 OWEN DR STE 103",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043412",
            "telephone_number": "910-748-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDNARD",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "15471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.