Melanie Adamo, MSPT
Individual provider Active NPI Physical Therapist · Medford, NY
NPI 1063533461 · NPPES record last updated Oct 12, 2022
Key facts
- NPI
- 1063533461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 025142-1 (NY)
- Practice address
- 8 Village Dr
Medford, NY 11763-4015 - Phone
- (631) 764-1990
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221114002791 | NY | Practitioner - Physical Therapist in Private Practice | 5597133090 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025142-1 | NY | MD | Physical Therapist |
| 025142 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Advantage Physical Therapy PC | Physical Therapist | Current |
Accepting new patients |
| St Charles Hospital Corp | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 025142-1 | NY | Yes |
Addresses
Primary practice location
8 Village Dr
Medford, NY 11763-4015
Mailing address
8 Village Dr
Medford, NY 11763-4015
Phone (631) 764-1990
Other providers in Medford, NY
- 495 Chiropractic, PC
- Abdul-Rahman Abdur-Rasheed
- Asiya Abdur-Rasheed
- Anteja Acevedo
- Sharon Acosta
- Rachael Adejaiye
- Isaiah Akinola Adejare
- Kudirat Olufunke Adesanya
- Rebecca A Agosto
- Jacqueline M Aguilar
All providers in Medford, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.