Active NPI
Cristine Mello, PHYSICAL THERAPIST
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1245403153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 015887-1
- Practice address
- 1250 67TH St
Brooklyn, NY 11219-5921 - Phone
- (718) 232-2322
- Fax
- (718) 331-5111
- NPI assigned
- Apr 11, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 015887-1 | NY | Primary |
Addresses
Primary practice location
1250 67TH St
Brooklyn, NY 11219-5921
Mailing address
1250 67TH St
Brooklyn, NY 11219-5921
Phone (718) 232-2322
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 |
|---|---|---|---|
| 015887-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1245403153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 67TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112195921",
"telephone_number": "718-232-2322",
"fax_number": "718-331-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 67TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112195921",
"telephone_number": "718-232-2322",
"fax_number": "718-331-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLO",
"first_name": "CRISTINE",
"name_prefix": "Ms.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-11",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "015887-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.