Cleveland Paul Melancon, PT, OCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

01407 Issued in LA

Practice address

17609 Old Jefferson Hwy
Suite G
Prairieville, LA 70769-3979

Phone

(225) 673-0200

Fax

(225) 673-0202

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• BRPT-Lake Rehabilitation Centers, LLC

  • Physical Therapy Clinic/Center
  • Baton Rouge, LA
  • NPI 1093797722
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1205927209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17609 OLD JEFFERSON HWY",
            "address_2": "SUITE G",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693979",
            "telephone_number": "225-673-0200",
            "fax_number": "225-673-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17609 OLD JEFFERSON HWY",
            "address_2": "SUITE G",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693979",
            "telephone_number": "225-673-0200",
            "fax_number": "225-673-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELANCON",
        "first_name": "CLEVELAND",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "PT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "LA",
            "license": "01407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber McLain
• Mollye McManus Badeaux, PT
• Meadowbrook Urgent Care PC
• Taylor Meche
• Katie Leigh Medine, D.D.S.
• Alisa Judith Mendoza, CCC-SLP
• Mia Lou Mercil
• Metro United Transportation, LLC
• Haley Faith Meyer, RN, BSN, SRNA
• MG Wellness and Education, LLC

• Orthopedic Physical Therapist in Prairieville, LA
• Providers in Prairieville, LA by specialty
• Orthopedic Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.