Lynn Marie Melhouse, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A954 Issued in MN

Practice address

815 Forest Ave
Northfield, MN 55057-1643

Phone

(507) 664-8841

NPI assigned

Jul 21, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1033349204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41761 90TH AVE",
            "city": "KENYON",
            "state": "MN",
            "postal_code": "559463403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 FOREST AVE",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550571643",
            "telephone_number": "507-664-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELHOUSE",
        "first_name": "LYNN",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Michael Mednick
• Natalya Gail Meehan, LICSW
• Meissner Psychiatric Care PLLC
• Deborah Lois Meissner, DNP, PMHNP-BC
• Jeffrey T Meland, MD
• Theresa M Melnychenko, MA, LP
• Carrie H Menk, LICSW
• Anne Elizabeth Meyer-Ruppel, NP
• Garet Chayce Miliner, OD
• Mind Body Psychotherapy LLC

• Physical Therapy Assistant in Northfield, MN
• Providers in Northfield, MN by specialty
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.