Active NPI
Amy J Patrick-Melin, PT
- Sports Physical Therapist
- Cleveland, OH
National Provider Identifier
1366428518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT09645 | Other | OH | OHIO 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
| License | State | Type | Specialty |
|---|---|---|---|
| LPT09645 | OH | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Home Health Agency
- Cleveland, OH
- NPI 1619392313
-
- Specialist
- Barberton, OH
- NPI 1497826697
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.