Individual provider Active NPI

Melanie Nelson

  • Physical Therapist
  • Rochester, NY
National Provider Identifier
1164026597
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
046270 Issued in NY
Practice address
3670 Mount Read Blvd Ste 12
Rochester, NY 14616-3448
Phone
(585) 355-4310
NPI assigned
Nov 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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 046270 NY Primary

Addresses

Primary practice location

3670 Mount Read Blvd Ste 12
Rochester, NY 14616-3448

Mailing address

457 Moscow Rd
Hamlin, NY 14464-9728

Other names 1

  • Melanie Kehoe Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL webPT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210210000750 NY Practitioner - Physical Therapist in Private Practice 1951716646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of New York at Buffalo School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesee Valley Physical Therapy and Sports Rehab PCGroup PAC ID 8325029606, 35 clinicians

Practice addresses (Care Compare)

3670 Mount Read Blvd
Suite 12
Rochester, NY 14616-3448
Phone (585) 355-4310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Genesee Valley Physical Therapy & Sports Rehab., P.C. Physical Therapist CurrentSince Nov 9, 2020 Accepting new patients

Locations

1350 Turk Hill Rd
Fairport, NY 14450

2300 Buffalo Rd
Bldg 300A
Rochester, NY 14624
Phone (716) 247-0080

3670 Mount Read Blvd
Ste 12
Rochester, NY 14616
Phone (585) 355-4310

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1164026597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 MOSCOW RD",
            "city": "HAMLIN",
            "state": "NY",
            "postal_code": "144649728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 MOUNT READ BLVD STE 12",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146163448",
            "telephone_number": "585-355-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MELANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "webPT",
            "affiliation": "N",
            "address_1": "1350 Turk Hill Rd",
            "city": "Fairport",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144508795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "KEHOE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.