Individual provider Active NPI

Melinda Franco Przybylowski

  • Physical Therapy Assistant
  • Valley Park, MO
National Provider Identifier
1144999418
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2013025704 Issued in MO
Practice address
719 Highland Ave
Valley Park, MO 63088-1424
Phone
(314) 775-4963
NPI assigned
Sep 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2013025704 MO Primary

Addresses

Primary practice location

719 Highland Ave
Valley Park, MO 63088-1424

Mailing address

719 Highland Ave
Valley Park, MO 63088-1424
Phone (314) 775-4963

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mely_fabros@yahoo.com

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2013025704MOMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1144999418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 HIGHLAND AVE",
            "city": "VALLEY PARK",
            "state": "MO",
            "postal_code": "630881424",
            "telephone_number": "314-775-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 HIGHLAND AVE",
            "city": "VALLEY PARK",
            "state": "MO",
            "postal_code": "630881424",
            "telephone_number": "314-775-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRZYBYLOWSKI",
        "first_name": "MELINDA",
        "middle_name": "FRANCO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2013025704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mely_fabros@yahoo.com",
            "affiliation": "N",
            "address_1": "719 Highland Ave",
            "city": "Valley Park",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630881424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Valley Park, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.