Melinda Nygren Pierce, PT, MS, CEEAA

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

070002515 Issued in IL

Practice address

6631 N Milwaukee Ave
Niles, IL 60714-4416

Phone

(847) 647-7444

NPI assigned

Apr 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Fit for Life Rehab and Fitness Clinic, Inc.

  • Physical Therapy Clinic/Center
  • Lake Bluff, IL
  • NPI 1417179979

  Geriatrics

  NPD (past)
• Rehabilitation Associates,LTD

  • Occupational Therapist
  • Highland Park, IL
  • NPI 1891806584

  Geriatrics

  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1437375037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 INDIAN TRAIL DR",
            "city": "RIVERWOODS",
            "state": "IL",
            "postal_code": "600151627",
            "telephone_number": "847-945-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6631 N MILWAUKEE AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144416",
            "telephone_number": "847-647-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "MELINDA",
        "middle_name": "NYGREN",
        "name_prefix": "Mrs.",
        "credential": "PT, MS, CEEAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "IL",
            "license": "070002515",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070002515",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IL 2699-004",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Thuong Pham, PHARMD, RPH
• Ann Phelps
• Dorota Piekarczyk, PT
• Martin J. Piekos, D.D.S.
• Malgorzata Pienkowska, DDS
• Shawn Patrick Pierce, LCSW
• Sylwia Pietrzykowski, L.M.T
• Pamela Jean Platt, PT
• Roger J Pogorzelski, DDS
• Polaris Labs LLC

• Geriatric Physical Therapist in Niles, IL
• Providers in Niles, IL by specialty
• Geriatric Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.

Verify at the official NPI Registry.