Active NPI
Eric Andrew Melendez, DPT
- Physical Therapist
- Monticello, MN
National Provider Identifier
1053044396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14223
- Practice address
- 1107 Hart Blvd Ste 10
Monticello, MN 55362-8539 - Phone
- (763) 295-6878
- Fax
- (763) 271-6860
- NPI assigned
- Jul 5, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2023017072 | MO | |
| Physical Therapist | 225100000X | PTH10845 | AL | |
| Physical Therapist | 225100000X | 14223 | MN | Primary |
| Physical Therapist | 225100000X | 05014625A | IN | |
| Physical Therapist | 225100000X | 1371930 | TX |
Addresses
Primary practice location
1107 Hart Blvd Ste 10
Monticello, MN 55362-8539
Mailing address
7134 James Ave S
Richfield, MN 55423-2922
Phone (612) 226-3845
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | emelendez1153268@direct.sw.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
23 Keewaydin Dr
Suite 101
Salem, NH 03079-2857
Phone (603) 912-7148
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH10845 | AL | MD | Physical Therapist |
| 05014625A | IN | MD | Physical Therapist |
| 2023017072 | MO | MD | Physical Therapist |
| 1371930 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merrimack Valley Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
12 Parmenter Rd
Unit C7
Londonderry, NH 03053
Phone (603) 434-6592
23 Keewaydin Dr
Ste 101
Salem, NH 03079
Phone (603) 912-7148
Organizations & group practices 1
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
- Bedford, NH
- NPI 1194771139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1053044396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7134 JAMES AVE S",
"city": "RICHFIELD",
"state": "MN",
"postal_code": "554232922",
"telephone_number": "612-226-3845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 HART BLVD STE 10",
"city": "MONTICELLO",
"state": "MN",
"postal_code": "553628539",
"telephone_number": "763-295-6878",
"fax_number": "763-271-6860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELENDEZ",
"first_name": "ERIC",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-05",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2023017072",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH10845",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "14223",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05014625A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1371930",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "emelendez1153268@direct.sw.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1100 Ford St",
"city": "Llano",
"state": "TX",
"country_code": "US",
"postal_code": "786432309",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Monticello, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.