MRS. MELISSA M FORTENBERRY (OTR) – Neurorehabilitation Occupational Therapist, NPI 1639122674

MRS. MELISSA M FORTENBERRY (OTR) is a healthcare provider. based in Houston, Texas. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR. They hold a License No. 107939 (TX). The NPI Number for MRS. MELISSA M FORTENBERRY (OTR) is 1639122674

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MELISSA M FORTENBERRY (OTR)
NPI
1639122674
Phone
(713) 721-9609
Address
10902 OASIS DR
Enumeration Date
19 May 2006
Last Update Date
28 December 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8324942200
Graduation Year
1996 (30 years ago)
PAC ID
2860478179
Group Practice PAC ID
4284098419
Professional Enrollment ID
I20040628000517
Address ID
TX770572130HO800XXDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

825 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in TX

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Provider Addresses for MRS. MELISSA M FORTENBERRY (OTR)

  • 10902, Oasis Drive, Westbury Section 2, Westbury, Houston, Harris County, Texas, 77096, United States

    HOUSTON, TX 770965030

    Phone: (713) 721-9609

    Type: Mailing

  • Southwest Freeway, Houston, Harris County, Texas, 77010, United States

    SUITE 100

    HOUSTON, TX 770277313

    Phone: (713) 669-0042

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040628000517IOccupational Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes54935$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes39137$0
97530Therapy procedure using functional activities25431$0
97166Evaluation for occupational therapy, typically 45 minutes2928$0
97165Evaluation for occupational therapy, typically 30 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 77096)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284098419View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

Is there an official ID for MRS. MELISSA M FORTENBERRY (OTR) in U.S. healthcare records?
The official identifier for MRS. MELISSA M FORTENBERRY (OTR) is NPI 1639122674.
Active or inactive — what applies to MRS. MELISSA M FORTENBERRY (OTR)?
You should see MRS. MELISSA M FORTENBERRY (OTR) as active in CMS-hosted NPPES data.
What expertise is attributed to MRS. MELISSA M FORTENBERRY (OTR)?
MRS. MELISSA M FORTENBERRY (OTR)'s specialty line reads Neurorehabilitation Occupational Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. MELISSA M FORTENBERRY (OTR)?
Travel planning: use Houston, Texas as the reference point for MRS. MELISSA M FORTENBERRY (OTR), then confirm.
When was this NPI issued?
Enumeration for MRS. MELISSA M FORTENBERRY (OTR) is noted as May 19, 2006 where the registry provides it.

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