Active NPI
Dawnmarie Meller, PT
- Pediatric Physical Therapist
- Aurora, IL
National Provider Identifier
1154777100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 070016439
- Practice address
- 2804 Mapleside CT
Aurora, IL 60502-6974 - Phone
- (708) 261-3544
- NPI assigned
- May 9, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 070016439 | IL | Primary |
Addresses
Primary practice location
2804 Mapleside CT
Aurora, IL 60502-6974
Mailing address
2804 Mapleside CT
Aurora, IL 60502-6974
Phone (708) 261-3544
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070016439 | IL | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1154777100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2804 MAPLESIDE CT",
"city": "AURORA",
"state": "IL",
"postal_code": "605026974",
"telephone_number": "708-261-3544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2804 MAPLESIDE CT",
"city": "AURORA",
"state": "IL",
"postal_code": "605026974",
"telephone_number": "708-261-3544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLER",
"first_name": "DAWNMARIE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-09",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "IL",
"license": "070016439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.