Individual provider Active NPI

Melanie A McDonald, MPT

  • Physical Therapist
  • Chandler, AZ
National Provider Identifier
1144228065
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-003888 Issued in AZ
Practice address
2051 W Chandler Blvd Ste 3
Chandler, AZ 85224-6239
Phone
(480) 566-8150
Fax
(480) 566-8151
NPI assigned
Jul 13, 2005
Last updated
Feb 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3888 AZ
Physical Therapist 225100000X LPT-003888 AZ Primary

Addresses

Primary practice location

2051 W Chandler Blvd Ste 3
Chandler, AZ 85224-6239

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6200

Other names 1

  • Melanie A Koza Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140224000061 AZ Practitioner - Physical Therapist in Private Practice 2365672185 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

2051 W Chandler Blvd
Suite 3
Chandler, AZ 85224-6239
Phone (480) 566-8150

6070 W Bell Rd
Suite A103
Glendale, AZ 85308-3774
Phone (602) 782-3965

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3888AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Feb 1, 2021 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Feb 1, 2021 Accepting new patients
Foothills Sports Medicine & Rehabilitation - Tempe, LLC Physical Therapist CurrentSince May 1, 2014 Accepting new patients
Arizona Sports Physical Therapy LTD Physical Therapist Past Accepting new patients

Locations

4929 W Ray Rd
Chandler, AZ 85226

2051 W Chandler Blvd
Ste 3
Chandler, AZ 85224
Phone (480) 566-8150

690 S Cooper Rd
Ste 101
Gilbert, AZ 85233
Phone (480) 503-2100

6070 W Bell Rd
Ste A103
Glendale, AZ 85308
Phone (602) 782-3965

15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822

15410 S Mountain Pkwy
Phoenix, AZ 85044
Phone (480) 329-8087

325 W Elliot Rd
Ste 104
Tempe, AZ 85284
Phone (480) 756-8617

8270 S Houghton Rd
Ste 180
Tucson, AZ 85747
Phone (520) 664-1430

6970 N Oracle Rd
Ste 130
Tucson, AZ 85704
Phone (520) 219-5825

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

Interoperability endpoints

  • Direct secure messaging: melanie.mcdonald.p6@direct.athleticoltd.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1144228065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-6200",
            "fax_number": "630-575-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 W CHANDLER BLVD STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246239",
            "telephone_number": "480-566-8150",
            "fax_number": "480-566-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MELANIE",
        "middle_name": "A",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "3888",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-003888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "KOZA",
            "middle_name": "A",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.