Growing Up Physical Therapy PC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

023141 Issued in NY

Legal business name

GROWING UP PHYSICAL THERAPY PC

Practice address

38 Capricorn LN
Monsey, NY 10952-5112

Phone

(917) 582-4396

Fax

(845) 694-8903

NPI assigned

May 31, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melinda Anne De Leon, PT, DPTNPI 1427148980

Title

Physical Therapist

Phone

(917) 582-4396

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melinda Anne De Leon, RPT

  • Physical Therapist
  • Monsey, NY
  • NPI 1427148980
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1023546207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 CAPRICORN LN",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109525112",
            "telephone_number": "917-582-4396",
            "fax_number": "845-694-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 CAPRICORN LN",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109525112",
            "telephone_number": "917-582-4396",
            "fax_number": "845-694-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING UP PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-582-4396",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "023141",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "023141",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearl Gross
• Rachel Gross, MA CCC-SLP
• Shaindy Gross, M.D.
• Tamara Grossberger
• Joseph Grossman, CASAC
• Malka Grunfeld
• Chaya Kaila Grunwald
• Esther Grunwald
• Violene Guerisma
• Maria Celenia Guillen, LMSW

• Early Intervention Provider Agency in Monsey, NY
• Providers in Monsey, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.