Individual provider Active NPI

Alexis Melendrez, OTD

  • Occupational Therapist
  • Mesa, AZ
National Provider Identifier
1912844564
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTH-010259 Issued in AZ
Practice address
5761 E Brown Rd Ste 19
Mesa, AZ 85205-4449
Phone
(480) 719-8080
Fax
(480) 981-8595
NPI assigned
May 1, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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 OTH-010259 AZ Primary

Addresses

Primary practice location

5761 E Brown Rd Ste 19
Mesa, AZ 85205-4449

Mailing address

1844 E Baseline Rd Ste C5
Tempe, AZ 85283-1506
Phone (480) 833-1005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1844 E Baseline Rd
Suite C5
Tempe, AZ 85283-1506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTH-010259AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Petersen Physical Therapy PC PastSince Jan 1, 2004 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": "1777593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1912844564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 E BASELINE RD STE C5",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831506",
            "telephone_number": "480-833-1005",
            "fax_number": "480-833-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5761 E BROWN RD STE 19",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054449",
            "telephone_number": "480-719-8080",
            "fax_number": "480-981-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDREZ",
        "first_name": "ALEXIS",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-01",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-010259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.