National Provider Identifier

Melissa Lynn Groth

Melissa Lynn Groth is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Kenmore, NY and a listed phone number of (716) 874-6175.

NPI 1386506699Kenmore, NYPediatric Occupational Therapist

Profile Overview

NPI
1386506699
Provider Type
Individual
Primary Specialty
Pediatric Occupational Therapist
Enumeration Date
November 25, 2025
Last Updated
November 25, 2025

Practice Location

  • 3767 Delaware Ave
  • Kenmore, NY 14217-1040

Phone: (716) 874-6175

Mailing Address

  • 66 Iroquois Dr
  • Orchard Park, NY 14127-1118

Specialties

  • Pediatric Occupational Therapist (225XP0200X)
Full Record
NPI
1386506699
Entity Type
Individual
Last Name
Groth
First Name
Melissa
Middle Name
Lynn
Mailing Street Address
66 Iroquois Dr
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-1118
Mailing Country
US
Practice Street Address
3767 Delaware Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-1040
Practice Country
US
Practice Phone
(716) 874-6175
Enumeration Date
November 25, 2025
Last Updated
November 25, 2025
Sex
Female
Sole Proprietor
No
Certification Date
November 25, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Occupational Therapist (225XP0200X)