Active NPI
Melvin Norton, PTA
- Physical Therapy Assistant
- Park City, UT
National Provider Identifier
1023215209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2058089
- Practice address
- 1640 W Redstone Center Drive
Suite 200
Park City, UT 84098 - Phone
- (888) 800-8744
- NPI assigned
- Jun 29, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 2058089 | TX | Primary |
Addresses
Primary practice location
1640 W Redstone Center Drive
Suite 200
Park City, UT 84098
Mailing address
PO Box 804
Edgewater, FL 32132-0804
Phone (386) 424-1686
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17729 | Other | FL | PTA |
| 2058089 | Other | TX | PTA |
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 |
|---|---|---|---|
| 2058089 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023215209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 804",
"city": "EDGEWATER",
"state": "FL",
"postal_code": "321320804",
"telephone_number": "386-424-1686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 W REDSTONE CENTER DRIVE",
"address_2": "SUITE 200",
"city": "PARK CITY",
"state": "UT",
"postal_code": "84098",
"telephone_number": "888-800-8744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORTON",
"first_name": "MELVIN",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2058089",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTA",
"identifier": "17729",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTA",
"identifier": "2058089",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Park City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.