Active NPI
Duane D Mellinger, PTA
- Physical Therapist
- Columbia, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27616
- Practice address
- 10710 Charter Dr
Columbia, MD 21044-3128 - Phone
- (410) 644-1880
- Fax
- (410) 730-1617
- NPI assigned
- Dec 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 27616 | MD | Primary |
| Physical Therapy Assistant | 225200000X | PTA002429 | GA |
Addresses
Primary practice location
10710 Charter Dr
Columbia, MD 21044-3128
Mailing address
10710 Charter Dr
Columbia, MD 21044-3128
Phone (410) 644-1880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10710 Charter Dr
Suite 300
Columbia, MD 21044-3260
Phone (410) 644-1880
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27616 | MD | MD | Pharmacist |
| PTA002429 | GA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Orthopaedic Associates of Central Maryland, PA | Past | Accepting new patients | |
| East Athens Physical Therapy Inc | Past | Accepting new patients |
Locations
910 Frederick Rd
Catonsville, MD 21228
12143 Clarksville Pike
Ste 101
Clarksville, MD 21029
Phone (443) 230-5339
10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450
10285 Little Patuxent Pkwy
Ste 400
Columbia, MD 21044
8610 Washington Blvd
Ste 200
Jessup, MD 20794
Phone (410) 824-8149
5961 Exchange Dr
Ste 100
Sykesville, MD 21784
Phone (410) 964-2212
405 N Center St
Ste 28
Westminster, MD 21157
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Olney, MD
- NPI 1487093167
-
- Orthopaedic Surgery Physician
- Columbia, MD
- NPI 1225462963
-
- Orthopaedic Surgery Physician
- Gainesville, VA
- NPI 1063393833
-
- Orthopaedic Surgery Physician
- Columbia, MD
- NPI 1023269396
-
- Physical Therapy Clinic/Center
- Athens, GA
- NPI 1326082611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566864000000",
"number": "1376727628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10710 CHARTER DR",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443128",
"telephone_number": "410-644-1880",
"fax_number": "410-730-1617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10710 CHARTER DR",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443128",
"telephone_number": "410-644-1880",
"fax_number": "410-730-1617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLINGER",
"first_name": "DUANE",
"middle_name": "D",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-21",
"last_updated": "2019-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "27616",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "GA",
"license": "PTA002429",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.