Individual provider Active NPI

Amy J Patrick-Melin, PT

  • Sports Physical Therapist
  • Cleveland, OH
National Provider Identifier
1366428518
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
Practice address
1250 Superior Avenue, Reserve Square BLDG
West Gallery
Cleveland, OH 44114
Phone
(216) 621-5275
Fax
(216) 621-6711
NPI assigned
Dec 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X LPT09645 OH
Sports Physical Therapist 2251S0007X Primary
Orthopedic Physical Therapist 2251X0800X LPT09645 OH

Addresses

Primary practice location

1250 Superior Avenue, Reserve Square BLDG
West Gallery
Cleveland, OH 44114

Mailing address

533 E Main St
Ravenna, OH 44266-3218
Phone (330) 297-9020

Other identifiers 1

IdentifierTypeStateIssuer
PT09645OtherOHOHIO OT PT ATC BOARD

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT09645OHMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Home Healthcare Services LLC Past Accepting new patients
Orthopaedics Inc. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1366428518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 E MAIN ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663218",
            "telephone_number": "330-297-9020",
            "fax_number": "330-297-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 SUPERIOR AVENUE, RESERVE SQUARE BLDG",
            "address_2": "WEST GALLERY",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44114",
            "telephone_number": "216-621-5275",
            "fax_number": "216-621-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK-MELIN",
        "first_name": "AMY",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "LPT09645",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "LPT09645",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO OT PT ATC BOARD",
            "identifier": "PT09645",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.