Melissa May Medeiros, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

005387 Issued in AZ

Practice address

21729 E Via de Arboles
Queen Creek, AZ 85142-5755

Phone

(480) 238-5376

NPI assigned

Feb 6, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1952165466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21729 E VIA DE ARBOLES",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425755",
            "telephone_number": "480-238-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21729 E VIA DE ARBOLES",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425755",
            "telephone_number": "480-238-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDEIROS",
        "first_name": "MELISSA",
        "middle_name": "MAY",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "005387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darrian Marisa McKiernan
• Mercadie McLaughlin, COTA/L
• Will A McLaws, P.A.
• Kelly Allison McMillan, PA-C
• Abby McNeil, OTR/L
• Lucas Melendez, D.C.
• Rebecca Mellon
• Memory Care of Arizona
• Sharon Lee Mendenhall, LCSW, CCBT, DAPA
• Naomi Mendoza Ealy, PMHNP-BC

• Occupational Therapy Assistant in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Occupational Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.