Active NPI
Melanie Michelle Fletcher, PT,DPT
- Pediatric Physical Therapist
- Dallas, TX
National Provider Identifier
1396166278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 1198683
- Practice address
- 4350 Sigma Rd Ste 100
Dallas, TX 75244-4421 - Phone
- (972) 991-6777
- NPI assigned
- Dec 19, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 1198683 | TX | Primary |
Addresses
Primary practice location
4350 Sigma Rd Ste 100
Dallas, TX 75244-4421
Mailing address
4350 Sigma Rd Ste 100
Dallas, TX 75244-4421
Phone (972) 991-6777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 751189353 | 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 |
|---|---|---|---|
| 1198683 | TX | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richardson | Past | Accepting new patients | |
| Launchability | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Early Intervention Provider Agency
- Dallas, TX
- NPI 1124449913
-
- Speech-Language Pathologist
- Dallas, TX
- NPI 1992079032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387411200000",
"number": "1396166278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4350 SIGMA RD STE 100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752444421",
"telephone_number": "972-991-6777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4350 SIGMA RD STE 100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752444421",
"telephone_number": "972-991-6777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "MELANIE",
"middle_name": "MICHELLE",
"credential": "PT,DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-19",
"last_updated": "2013-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "TX",
"license": "1198683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "751189353",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.