Active NPI
Ver Mellord Magno Rama
- Physical Therapist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 013267
- Practice address
- 1345 Avenue of Americas
New York, NY 10105 - Phone
- (212) 981-1977
- NPI assigned
- Jun 2, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 013267 | NY | Primary |
Addresses
Primary practice location
1345 Avenue of Americas
New York, NY 10105
Mailing address
7 Tall Oaks LN
Budd Lake, NJ 07828-2539
Phone (609) 290-2327
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013267 | Other | NY | PTA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
280 W 231St St
Bronx, NY 10463-3940
3439 Knox PL Apt
1J
Bronx, NY 10467-2083
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053272 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theradynamics Rehab. PT, OT & SLP, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
280 W 231st St
Bronx, NY 10463
Phone (718) 548-1212
18716 Hillside Ave
Jamaica, NY 11432
Phone (718) 206-1288
1 Nagle Ave
New York, NY 10040
Phone (212) 928-7800
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.
-
- Physical Therapy Clinic/Center
- Bronx, NY
- NPI 1912463399
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654128000000",
"number": "1194464628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 TALL OAKS LN",
"city": "BUDD LAKE",
"state": "NJ",
"postal_code": "078282539",
"telephone_number": "609-290-2327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 AVENUE OF AMERICAS",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10105",
"telephone_number": "212-981-1977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMA",
"first_name": "VER MELLORD",
"middle_name": "MAGNO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-02",
"last_updated": "2022-06-02",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "013267",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTA LICENSE",
"identifier": "013267",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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 Jun 2, 2022; 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.