Meladjoy Therapy Services Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MELADJOY THERAPY SERVICES INC

Practice address

54473 White Tail Dr
Mishawaka, IN 46545-1849

Phone

(574) 386-7555

NPI assigned

Jan 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Maynard Villavicencio Utayde, PT

Title

Ceo

Phone

(574) 386-7570

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alma Balbon Utayde, OTR

  • Occupational Therapist
  • Mishawaka, IN
  • NPI 1639236151
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376600817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54473 WHITE TAIL DR",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451849",
            "telephone_number": "574-386-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54473 WHITE TAIL DR",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451849",
            "telephone_number": "574-386-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELADJOY THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UTAYDE",
        "authorized_official_first_name": "MAYNARD",
        "authorized_official_middle_name": "VILLAVICENCIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "574-386-7570",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Meidell, M.A. CCC-SLP
• Maryjo Meier, M.D.
• Sophia Elizabeth Meier, DPM
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• Meijer Stores Limited Partnership (Meijer Pharmacy #121)
• Karen Mendoza, M.A., CCC-SLP
• Ment-Hope LLC
• Mental Substance LLC
• Merrill Corporation (Merrillcare)
• Joseph M Meszaros, PHARM. D, RPH

• Physical Therapy Clinic/Center in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Physical Therapy Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.