Active NPI
Robert Melino, DPT
- Physical Therapist
- Tewksbury, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17598
- Practice address
- 1830 Main St Apt 1
Tewksbury, MA 01876-4712 - Phone
- (978) 710-6254
- Fax
- (978) 710-6879
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- 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 | 17598 | MA | Primary |
Addresses
Primary practice location
1830 Main St Apt 1
Tewksbury, MA 01876-4712
Mailing address
1 Credit Union Way FL 3
Randolph, MA 02368-4633
Phone (781) 961-3370
Other practice location 1
22 Mill St Ste 406
Arlington, MA 02476-4744
Phone (781) 646-8440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110074633A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16 Aldrin Rd
Plymouth, MA 02360-4804
Phone (508) 830-0093
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay State Physical Therapy of Randolph Inc | Current | Accepting new patients |
Locations
22 Mill St
Ste 406
Arlington, MA 02476
Phone (781) 646-8440
703 Granite St
Ste 300
Braintree, MA 02184
Phone (603) 626-4205
703 Granite St
Fl 3
Braintree, MA 02184
186 Summer St
Kingston, MA 02364
Phone (781) 585-8588
1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339
16 Aldrin Rd
Plymouth, MA 02360
Phone (508) 728-8727
1 Credit Union Way
Fl 3
Randolph, MA 02368
Phone 7819613370225
Organizations & group practices 2
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.
-
dba Bay State Physical Therapy
- Physical Therapist
- Fall River, MA
- NPI 1164474334
-
dba Milton Chiropractic and Rehabilitation INC
- Chiropractor
- Quincy, MA
- NPI 1316507627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538956800000",
"number": "1326105305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CREDIT UNION WAY FL 3",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023684633",
"telephone_number": "781-961-3370",
"fax_number": "781-961-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 MAIN ST APT 1",
"city": "TEWKSBURY",
"state": "MA",
"postal_code": "018764712",
"telephone_number": "978-710-6254",
"fax_number": "978-710-6879"
}
],
"practiceLocations": [
{
"address_1": "22 Mill St Ste 406",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "MA",
"postal_code": "024764744",
"country_code": "US",
"telephone_number": "781-646-8440",
"fax_number": "781-643-7542",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MELINO",
"first_name": "ROBERT",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2018-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "17598",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110074633A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tewksbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.