Active NPI
Elizabeth Meline
- Physical Therapist
- Edinburg, TX
National Provider Identifier
1366675282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1189691
- Practice address
- 2715 W Trenton Rd
Edinburg, TX 78539-3433 - Phone
- (956) 316-2224
- NPI assigned
- Aug 26, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 1189691 | TX | Primary |
Addresses
Primary practice location
2715 W Trenton Rd
Edinburg, TX 78539-3433
Mailing address
4614 Shoal Creek Dr
College Station, TX 77845-4407
Phone (979) 229-7485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149229001 | Medicaid | TX |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1189691 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709510400000",
"number": "1366675282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4614 SHOAL CREEK DR",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778454407",
"telephone_number": "979-229-7485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2715 W TRENTON RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785393433",
"telephone_number": "956-316-2224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELINE",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-26",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1189691",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149229001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edinburg, TX
- Mejia-Sanchez Family Healthcare and Wellness Clinic
- Mejia-Sanchez Family Healthcare and Wellness Clinic
- Samantha Pollet Melchor
- Oscar Melendez, PSY. D.
- Mairah Melgoza, PT
- Melva Palacios, M.D., PA
- Memory Lane Healthcare Services, Inc.
- Jennifer Pulido Menchaca, PA
- Laura Menchaca
- Cristian Alejandro Mendez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.