Healthcare Provider Details

I. General information

NPI: 1437586849
Provider Name (Legal Business Name): ROBIN HEATHER MELILLO OT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ROBIN HEATHER SILBERBERG OTD, OTR/L; PTA

II. Dates (important events)

Enumeration Date: 09/30/2013
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4650 W SWEETWATER AVE
GLENDALE AZ
85304-1505
US

IV. Provider business mailing address

4650 W SWEETWATER AVE
GLENDALE AZ
85304-1505
US

V. Phone/Fax

Practice location:
  • Phone: 602-347-2600
  • Fax:
Mailing address:
  • Phone: 602-347-2600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number40QB00111700
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number10093A
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOTH-010059
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: