Individual provider Active NPI

Melissa White, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • Hiawatha, IA
National Provider Identifier
1861864043
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
01674 Issued in IA
Practice address
2200 Heritage Green Dr
Hiawatha, IA 52233-2326
Phone
(319) 693-7745
Fax
(319) 378-6951
NPI assigned
Oct 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 01674 IA Primary

Addresses

Primary practice location

2200 Heritage Green Dr
Hiawatha, IA 52233-2326

Mailing address

2200 Heritage Green Dr
Hiawatha, IA 52233-2326
Phone (319) 693-7745

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melissa@balancedfitnessandhealth.com Direct

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

LicenseStateTypeSpecialty
01674IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Fitness & Health PastSince Jul 5, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1861864043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 HERITAGE GREEN DR",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332326",
            "telephone_number": "319-693-7745",
            "fax_number": "319-378-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 HERITAGE GREEN DR",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332326",
            "telephone_number": "319-693-7745",
            "fax_number": "319-378-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MELISSA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "IA",
            "license": "01674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissa@balancedfitnessandhealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2200 Heritage Green Dr",
            "city": "Hiawatha",
            "state": "IA",
            "country_code": "US",
            "postal_code": "522332326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hiawatha, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.