NPIMap

Individual provider Active NPI

Melanie Andrea Embree, PT, OCS, CSCS

  • Orthopedic Physical Therapist
  • Bend, OR
National Provider Identifier
1083802409
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
03932 Issued in OR
Practice address
19134 Currier Dr
Bend, OR 97702
Phone
(541) 639-9770
Fax
(541) 919-1839
NPI assigned
Oct 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic Fitter 225000000X
Physical Therapist 225100000X PT00008184 WA
Physical Therapist 225100000X 3932 OR
Orthopedic Physical Therapist 2251X0800X
Orthopedic Physical Therapist 2251X0800X 03932 OR Primary

Addresses

Primary practice location

19134 Currier Dr
Bend, OR 97702

Mailing address

19134 Currier Dr
Bend, OR 97702
Phone (541) 639-9770

Other names 1

  • Ms. Melanie Andrea Forsyth Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3932ORMDPhysical Therapist
PT00008184WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Physical Therapy Current Accepting new patients
Southside Physical Therapy, Inc. Physical Therapist PastSince Oct 1, 2017 Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1083802409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19134 CURRIER DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97702",
            "telephone_number": "541-639-9770",
            "fax_number": "541-919-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19134 CURRIER DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97702",
            "telephone_number": "541-639-9770",
            "fax_number": "541-919-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMBREE",
        "first_name": "MELANIE",
        "middle_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "PT, OCS, CSCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008184",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "3932",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "03932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "FORSYTH",
            "middle_name": "ANDREA",
            "prefix": "MS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.