Active NPI
Melanie R Myers, DPT
- Physical Therapist
- Portland, OR
National Provider Identifier
1144396714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1934
- Practice address
- 9135 SW Barnes Rd Ste 362
Portland, OR 97225 - Phone
- (503) 216-3125
- NPI assigned
- Nov 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1934 | NV | Primary |
Addresses
Primary practice location
9135 SW Barnes Rd Ste 362
Portland, OR 97225
Mailing address
9135 SW Barnes Rd Ste 362
Portland, OR 97225-6683
Phone (503) 216-3125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100507555 | Medicaid | NV |
Other names 1
- Melanie R Kum
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dimond Physical Therapy and Performance Lab, LLC | Physical Therapist | Past | Accepting new patients |
| Physiotherapy Associates Inc | Past | Accepting new patients | |
| Erhardt Physical Therapy and Sports Medicine, LLC | 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.
-
dba The KOR
- Physical Therapist
- Beaverton, OR
- NPI 1184864365
-
dba ATI Physical Therapy
- Physical Therapist
- Scappoose, OR
- NPI 1326110313
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1144396714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9135 SW BARNES RD STE 362",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256683",
"telephone_number": "503-216-3125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9135 SW BARNES RD STE 362",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97225",
"telephone_number": "503-216-3125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "MELANIE",
"middle_name": "R",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-27",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "1934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100507555",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELANIE",
"last_name": "KUM",
"middle_name": "R",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.