Active NPI
Cheryl Dawn Melzer, PT
- Physical Therapist
- Portland, OR
National Provider Identifier
1013146893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1470
- Practice address
- 3181 SW Sam Jackson Park Road
Portland, OR 97239 - Phone
- (503) 494-4998
- NPI assigned
- Jul 14, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1470 | OR | Primary |
Addresses
Primary practice location
3181 SW Sam Jackson Park Road
Portland, OR 97239
Mailing address
31300 SW Country View Lane
Wilsonville, OR 97070
Phone (503) 258-7340
Other names 1
- Miss Cheryl Dawn Hamilton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1470 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247529600000",
"number": "1013146893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31300 SW COUNTRY VIEW LANE",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "97070",
"telephone_number": "503-258-7340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK ROAD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97239",
"telephone_number": "503-494-4998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELZER",
"first_name": "CHERYL",
"middle_name": "DAWN",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-14",
"last_updated": "2009-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "1470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHERYL",
"last_name": "HAMILTON",
"middle_name": "DAWN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.