Organization Active NPI

Melrose Physical Therapy P.C.

  • Physical Therapy Clinic/Center
  • Bronx, NY
National Provider Identifier
1346682374
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
0165461 Issued in NY
Legal business name
MELROSE PHYSICAL THERAPY P.C.
Practice address
897 Melrose Ave # a
Bronx, NY 10451-4172
Phone
(347) 918-8440
NPI assigned
Jul 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Authorized official

Name
Dr. Jubril Adeyemi Bishi, DPT
Title
Physical Therapist/ Owner
Phone
(201) 321-4027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 0165461 NY Primary

Addresses

Primary practice location

897 Melrose Ave # a
Bronx, NY 10451-4172

Mailing address

897 Melrose Ave # a
Bronx, NY 10451-4172
Phone (347) 918-8440

National Provider Directory

National Provider Directory

Locations

897 Melrose Ave
#A
Bronx, NY 10451
Phone (347) 918-8440

NPI Registry JSON

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1346682374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "897 MELROSE AVE # A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104514172",
            "telephone_number": "347-918-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 MELROSE AVE # A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104514172",
            "telephone_number": "347-918-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELROSE PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "BISHI",
        "authorized_official_first_name": "JUBRIL",
        "authorized_official_middle_name": "ADEYEMI",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/ OWNER",
        "authorized_official_telephone_number": "201-321-4027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "0165461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.