Active NPI
Melody Marie Kentrus, DPT
- Physical Therapist
- Cumberland, MD
National Provider Identifier
1013241926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23071
- Practice address
- 157 Baltimore St
Cumberland, MD 21502-2472 - Phone
- (301) 722-3680
- NPI assigned
- Sep 24, 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 | 23071 | MD | Primary |
Addresses
Primary practice location
157 Baltimore St
Cumberland, MD 21502-2472
Mailing address
157 Baltimore St
Cumberland, MD 21502-2472
Phone (301) 722-3680
Other practice location 1
225 E Main St
Frostburg, MD 21532-1944
Phone (301) 689-5233
Other names 1
- Miss Melody Marie Hanna
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 |
|---|---|---|---|
| 23071 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab1St Inc | Physical Therapist | Past | Accepting new patients |
| Rehab 1St, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Gaithersburg, MD
- NPI 1093734915
-
- Physical Therapist
- Frostburg, MD
- NPI 1881141760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1013241926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 BALTIMORE ST",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215022472",
"telephone_number": "301-722-3680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 BALTIMORE ST",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215022472",
"telephone_number": "301-722-3680"
}
],
"practiceLocations": [
{
"address_1": "225 E Main St",
"address_purpose": "LOCATION",
"city": "Frostburg",
"state": "MD",
"postal_code": "215321944",
"country_code": "US",
"telephone_number": "301-689-5233",
"fax_number": "301-689-5236",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENTRUS",
"first_name": "MELODY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-24",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "23071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELODY",
"last_name": "HANNA",
"middle_name": "MARIE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cumberland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.