Melonie Taylor Rathod, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT010721 Issued in GA

Practice address

1706 Magnolia Way
Augusta, GA 30909-9481

Phone

(706) 210-7529

Fax

(706) 312-7613

NPI assigned

Sep 23, 2015

Last updated

Sep 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: melonie.mcbride.p12@direct.athleticoltd.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sports Medicine Associates of Augusta, LLC

  dba Champion Orthopedics

  • Orthopaedic Surgery Physician
  • Augusta, GA
  • NPI 1255565503

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1366811036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 MAGNOLIA WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309099481",
            "telephone_number": "706-210-7529",
            "fax_number": "706-312-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 MAGNOLIA WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309099481",
            "telephone_number": "706-210-7529",
            "fax_number": "706-312-7613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2258 Wrightsboro Rd",
            "address_2": "Suite 250",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309044887",
            "country_code": "US",
            "telephone_number": "706-724-6543",
            "fax_number": "206-350-9023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RATHOD",
        "first_name": "MELONIE",
        "middle_name": "TAYLOR",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aida Rassam, DMD
• Riaz Rassekh, MD
• Johnathon J Rast
• Bhargavi Ratakonda
• Tyler Payne Rathburn, DMD
• Disa Rathore, DO, MPH
• Shazeen Rattansi
• Girindra Raval, MD
• Priyanka Raval
• Theodore D Ravenel V, DMD

• Physical Therapist in Augusta, GA
• Providers in Augusta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.