MEDICARE: DR. MELISSA RABIDEAU PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant
2	225200000X	Physical Therapy Assistant
3	225700000X	Massage Therapist	7501011843	MI
4	225X00000X	Occupational Therapist
5	235Z00000X	Speech-Language Pathologist
6	225100000X	Physical Therapist	5501017204	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	F271510	OTHER	MI	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1528523594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELISSA RABIDEAU PT

Provider Business Mailing Address
First Line	:	418 N MAIN ST FL 2
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48067-1813
Country	:	US
Telephone Number	:	844-313-2246
Fax Number	:	517-798-5705

Provider Business Practice Location Address
First Line	:	418 N MAIN ST FL 2
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48067-1813
Country	:	US
Telephone Number	:	844-313-2246
Fax Number	:	517-798-5705

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2019
Last Update Date	:	02/21/2020

Similar Medicare Providers

1720910995 — KATY LOU KARSTEN
Practice Location Address:

418 N MAIN ST STE 200
ROYAL OAK, MI
48067-1813

Practice Phone: 999-999-9999
Practice Fax:

1063387686 — WISE WELL SUPPLIES INC
Practice Location Address:

418 N MAIN ST FL 2
ROYAL OAK, MI
48067-1813

Practice Phone: 313-465-4301
Practice Fax:

1164668703 — DR. LARRY M GANT LMSW, PHD
Practice Location Address:

418 N. MAIN STREET , SUITE 200
ROYAL OAK, MI
48067-1813

Practice Phone: 313-725-1847
Practice Fax: 313-347-4369

1760934525 — ALL-HEART BEHAVIORAL HEALTH
Practice Location Address:

418 N MAIN ST STE 100
ROYAL OAK, MI
48067-1813

Practice Phone: 248-729-6708
Practice Fax:

1144762121 — DELTASDH LLC
Practice Location Address:

418 N MAIN ST STE 200
ROYAL OAK, MI
48067-1813

Practice Phone: 248-336-2133
Practice Fax: 248-583-9414

1366907339 — OPTIMAL RECOVERY & THERAPY PLLC
Practice Location Address:

418 N MAIN ST FL 2
ROYAL OAK, MI
48067-1813

Practice Phone: 844-313-2246
Practice Fax: 517-798-5705

Directions to “ DR. MELISSA RABIDEAU PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.