Melissa Rudolph, MOT, OTRL
Occupational Therapist, Neurorehabilitation in Brighton, MI. Individual provider (NPI-1).
NPI number1629664149
StatusActive
Last updated in NPPESDec 18, 2020
Details
- NPI
- 1629664149
- Entity type
- Individual (NPI-1)
- Name
- Melissa Rudolph
- Credential
- MOT, OTRL
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 18, 2020
- Certification date
- Dec 18, 2020
- Last updated
- Dec 18, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XN1300X | Occupational Therapist, Neurorehabilitation | 5201007941 | MI | Yes |
Practice location
7200 Challis RdBrighton, MI 48116-7411
Phone 810-227-0119
Mailing address
315 Byron RdHowell, MI 48843-1405
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Neurorehabilitation Occupational Therapist providers in Brighton, MI
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.