NPIMap

Organization Active NPI

Mellman Medical Center

  • Human Factors Physical Therapist
  • Sunny Isles Beach, FL
National Provider Identifier
1043593684
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Human Factors Physical TherapistTaxonomy code 2251H1300X
License
8735 Issued in FL
Legal business name
MELLMAN MEDICAL CENTER
Practice address
19380 Collins Ave
Suite 823
Sunny Isles Beach, FL 33160-2239
Phone
(954) 457-5989
Fax
(305) 397-2923
NPI assigned
Sep 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Authorized official

Name
Dr. Leon Mellman, BCIM
Title
Owner
Phone
(954) 457-5989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Human Factors Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251H1300X 8735 FL Primary

Addresses

Primary practice location

19380 Collins Ave
Suite 823
Sunny Isles Beach, FL 33160-2239

Mailing address

19380 Collins Ave
Suite 823
Sunny Isles Beach, FL 33160-2239
Phone (954) 457-5989

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1043593684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19380 COLLINS AVE",
            "address_2": "SUITE 823",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331602239",
            "telephone_number": "954-457-5989",
            "fax_number": "305-397-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19380 COLLINS AVE",
            "address_2": "SUITE 823",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331602239",
            "telephone_number": "954-457-5989",
            "fax_number": "305-397-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELLMAN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "MELLMAN",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-457-5989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BCIM"
    },
    "taxonomies": [
        {
            "code": "2251H1300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Human Factors",
            "state": "FL",
            "license": "8735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunny Isles Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.