Melip Enterprises
Organization Active NPI Physical Therapist · Sparta, NJ
NPI 1104585264 · NPPES record last updated Jan 27, 2022
Key facts
- NPI
- 1104585264
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- MELIP ENTERPRISES
- Practice address
- 104 Main St Ste 1a
Sparta, NJ 07871-1945 - Phone
- (973) 729-1222
- NPI assigned
- Dec 15, 2021
- Organization subpart
- No
Authorized official
- Name
- Melissa Prestipino
- Title
- Owner
- Phone
- (646) 346-0840
Practitioners 8
-
Melissa Prestipino, P.T.
-
Meghan H Miller, PT
-
Veronique Flynn, OT
-
Zachary Katzman, DPT
-
Tyler Morando, PT, DPT
-
Matthew I Shohen, P.T.
-
Mohamed Wyell Tarakji, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220127000873 | NJ | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 2567854466 |
Receives reassigned benefits from 8 practitioners Practice locations: Sparta, NJ |
National Provider Directory
Locations
104 Main St
Ste 1A
Sparta, NJ 07871
Phone (973) 729-1222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
104 Main St Ste 1a
Sparta, NJ 07871-1945
Mailing address
2 Mount Pleasant Rd
Sparta, NJ 07871-3844
Other names
- Maize & Blue Rehab
Other providers in Sparta, NJ
- Brittany McKay
- Amanda McLaughlin
- Daniel Scott McLaughlin
- Charles T McNeil
- Lori Lee Mele
- Katherine A Member
- Memory Care Medical P.C.
- Mendel Chiropractic and Wellness Center, LLC
- Tracey S Mendel
- Rosemary Anne Menger
All providers in Sparta, NJ · Physical Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 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.