IndividualActive
Melanie Iacullo, OTR/L
NPI 1093476400 · Occupational Therapist · Monroe, NY
Provider details
- NPI number
- 1093476400
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 026454 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3 Van Keuren Ct
Monroe, NY 10950-1525
Phone: (845) 545-4632
Street-level locationGet directions
Mailing address
3 Van Keuren Ct
Monroe, NY 10950-1525
Registry dates
- Enumerated
- 2022-01-07
- Last updated
- 2022-01-07
- Certified
- 2022-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.