Mellissa Madera

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

8132 Hudson Ave
Hudson, FL 34667-8571

Phone

(727) 863-3100

NPI assigned

May 15, 2018

Sex

Female

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

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1295225266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4914 IVY GLEN PL",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346396149",
            "telephone_number": "727-452-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8132 HUDSON AVE",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346678571",
            "telephone_number": "727-863-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADERA",
        "first_name": "MELLISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darian Lupton, DNP, CRNA
• Zachary Lance Lutz, DO
• Lynks 2 Lyfe, LLC
• Deborah Lyons, APRN PMHNP-BC
• Scot D. Machlus, PH.D.
• Harish M. Madnani, M.D.
• Ipatia D Magnus, PHD, DNP, FPMHNP-BC
• Mahender M Reddy MD Inc
• Alacia Mahnken, PA-C
• Loan Mai, D.O.

• Physical Therapy Assistant in Hudson, FL
• Providers in Hudson, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.