Individual provider Active NPI

Melanie Grenald McDonald, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1144763061
Registry record updated Jul 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
041119 Issued in NY
Practice address
19 W 21St St RM 404
New York, NY 10010-6877
Phone
(347) 400-5201
NPI assigned
Nov 25, 2016
Last updated
Jul 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 041119 NY Primary

Addresses

Primary practice location

19 W 21St St RM 404
New York, NY 10010-6877

Mailing address

81 E 28TH St Apt 4
Brooklyn, NY 11226-5583
Phone (347) 400-5201

Other practice location 1

139 E 57th St
New York, NY 10022-2102
Phone (212) 753-4767

Other practice location 2

152 W 25th St Rm 601
New York, NY 10001
Phone (212) 255-5531

Other names 1

  • Dr. Melanie Grenald Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161221001774 NY Practitioner - Physical Therapist in Private Practice 2961783402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
New York University School of Medicine, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

350 7TH Ave
RM 500
New York, NY 10001-1944
Phone (347) 400-5201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041119NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Melanie Grenald McDonald Physical Therapy PLLC Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients

Locations

19 W 21st St
Rm 404
New York, NY 10010
Phone (212) 366-4450

350 7th Ave
Rm 500
New York, NY 10001
Phone (347) 400-5201

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, 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": "1480032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594425600000",
    "number": "1144763061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 E 28TH ST APT 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265583",
            "telephone_number": "347-400-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W 21ST ST RM 404",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106877",
            "telephone_number": "347-400-5201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "139 E 57th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100222102",
            "country_code": "US",
            "telephone_number": "212-753-4767",
            "fax_number": "212-753-4076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "152 W 25th St Rm 601",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10001",
            "country_code": "US",
            "telephone_number": "212-255-5531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MELANIE",
        "middle_name": "GRENALD",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-25",
        "last_updated": "2020-07-11",
        "certification_date": "2020-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "GRENALD",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2020; 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.