Mellisa Fanning, OTD
NPI 1508456732ActiveIndividual· Occupational Therapist· Huntsville, AL
Occupational Therapist (OTD) with Functional Pathways Preferred of Tennessee LLC, practicing in Huntsville, Alabama. Medicare paid $3,679 for services to 16 patients in 2024.
Overview
| NPI | 1508456732 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTD |
| Sole proprietor | No |
| NPI issued | Jan 21, 2021 |
| Last updated in NPPES | Jan 21, 2021 |
| Certified by provider | Jan 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 2394 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (AL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 16 |
|---|---|
| Services billed | 209 across 5 procedure codes |
| Paid by Medicare | $3,679 |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Functional Pathways Preferred of Tennessee LLCNorthbrook, IL · 196 clinicians
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