Individual provider Active NPI

Melodi Amber Reeder, PT, MPT

  • Physical Therapist
  • Lubbock, TX
National Provider Identifier
1376574210
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1135481 Issued in TX
Practice address
4413 82ND St.
Suite 107
Lubbock, TX 79424-3366
Phone
(806) 319-7488
Fax
(806) 368-5935
NPI assigned
Jul 6, 2006
Last updated
Nov 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1135481 TX Primary

Addresses

Primary practice location

4413 82ND St.
Suite 107
Lubbock, TX 79424-3366

Mailing address

4413 82ND St.
Suite 107
Lubbock, TX 79424-3366
Phone (806) 319-7488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060328000342 TX Practitioner - Physical Therapist in Private Practice 5092723353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Texas Medical School at San Antonio, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4413 82ND St
Suite 107
Lubbock, TX 79424-3366
Phone (806) 319-7488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1135481TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Mechanics Physical Therapy PLLC Physical Therapist CurrentSince Jan 3, 2011 Accepting new patients
Covenant Medical Group Past Accepting new patients
Bodyworks PT, LLC Physical Therapist Past Accepting new patients

Locations

4413 82nd St
Ste 107
Lubbock, TX 79424
Phone (806) 319-7488

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1376574210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 82ND ST.",
            "address_2": "SUITE 107",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243366",
            "telephone_number": "806-319-7488",
            "fax_number": "806-368-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4413 82ND ST.",
            "address_2": "SUITE 107",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243366",
            "telephone_number": "806-319-7488",
            "fax_number": "806-368-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEDER",
        "first_name": "MELODI",
        "middle_name": "AMBER",
        "credential": "PT, MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1135481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.