Organization Active NPI

Melanie R. McConnell Therapeutic Services, Inc.

  • Physical Therapy Clinic/Center
  • Evansville, IN
National Provider Identifier
1144413287
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
05005845A Issued in IN
Legal business name
MELANIE R. MCCONNELL THERAPEUTIC SERVICES, INC.
Practice address
958 S Kenmore Dr
Evansville, IN 47714-7513
Phone
(812) 477-5003
Fax
(812) 477-3639
NPI assigned
Aug 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Ms. Melanie Renee McConnell Holtz, MPTNPI 1881736874
Title
Owner
Phone
(812) 477-5003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 05005845A IN Primary

Addresses

Primary practice location

958 S Kenmore Dr
Evansville, IN 47714-7513

Mailing address

958 S Kenmore Dr
Evansville, IN 47714-7513
Phone (812) 477-5003

National Provider Directory

National Provider Directory

Locations

600 Walnut St
#101A
Evansville, IN 47708
Phone (812) 422-4640

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1144413287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "958 S KENMORE DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477147513",
            "telephone_number": "812-477-5003",
            "fax_number": "812-477-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 S KENMORE DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477147513",
            "telephone_number": "812-477-5003",
            "fax_number": "812-477-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANIE R. MCCONNELL THERAPEUTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL HOLTZ",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-477-5003",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IN",
            "license": "05005845A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.