Melissa Hyma, PT, MPT
Individual provider Active NPI Physical Therapist · Bradley, IL
NPI 1093969974 · NPPES record last updated Mar 28, 2022
Key facts
- NPI
- 1093969974
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070015721 (IL)
- Practice address
- 535 E North St Ste C
Bradley, IL 60915-1188 - Phone
- (815) 802-7503
- Fax
- (815) 802-7514
- NPI assigned
- Nov 5, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- River Valley Physical Therapy Spine and Joint Center LLC
Practice addresses (Care Compare)
535 E N St
Suite C
Bradley, IL 60915-1188
Phone (815) 802-7503
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081223000435 | IL | Practitioner - Physical Therapist in Private Practice | 3173685302 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Valley Physical Therapy Spine and Joint Center LLC | Physical Therapist | Current |
Accepting new patients |
Locations
535 E North St
Ste C
Bradley, IL 60915
Phone (815) 802-7503
517 E North St
Bradley, IL 60915
Phone (815) 802-7503
341 S Main St
Clifton, IL 60927
Phone (815) 918-5084
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070015721 | IL | Yes |
Addresses
Primary practice location
535 E North St Ste C
Bradley, IL 60915-1188
Mailing address
517 E North Street
Bradley, IL 60915
Phone (815) 802-7503
Other providers in Bradley, IL
- Ella Holt
- Denise Ann Howard
- Emma Howard
- Victoria Lynn Huenerberg
- Brian Hyma
- Illinois Bone and Joint Institute, LLC
- Kathryn Margaret Marie Inczaukskis
- Insight Wellness Center PLLC
- Internal Medicine Associates of Kankakee, LTD
- Olatola Omobolanle Iyi-Ojo
All providers in Bradley, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.