Active NPI
Bennett G Melling, PT, MOMT
- Physical Therapist
- Platte City, MO
National Provider Identifier
1114907227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- R0462
- Practice address
- 2425 NW Prairie View Rd
Platte City, MO 64079-7627 - Phone
- (816) 858-3250
- Fax
- (816) 858-3253
- NPI assigned
- Jan 17, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | R0462 | MO | Primary |
| Physical Therapist | 225100000X | 11-00945 | KS |
Addresses
Primary practice location
2425 NW Prairie View Rd
Platte City, MO 64079-7627
Mailing address
2425 NW Prairie View Rd
Platte City, MO 64079-7627
Phone (816) 858-3250
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09945037 | Other | MO | BLUE CROSS & BLUE SHIELD |
| 5093654 | Other | MO | AETNA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11-00945 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olathe Physical Therapy & Hand Rehab | Physical Therapist | Past | Accepting new patients |
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
- Olathe, KS
- NPI 1477533073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1114907227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 NW PRAIRIE VIEW RD",
"city": "PLATTE CITY",
"state": "MO",
"postal_code": "640797627",
"telephone_number": "816-858-3250",
"fax_number": "816-858-3253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 NW PRAIRIE VIEW RD",
"city": "PLATTE CITY",
"state": "MO",
"postal_code": "640797627",
"telephone_number": "816-858-3250",
"fax_number": "816-858-3253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLING",
"first_name": "BENNETT",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "PT, MOMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "R0462",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-00945",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "09945037",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5093654",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Platte City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.