Melinda Nabwoba Mukolwe, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1264887 Issued in TX

Practice address

400 E Quincy St
San Antonio, TX 78215-1934

Phone

(210) 427-0211

NPI assigned

Aug 18, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1447626098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E QUINCY ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151934",
            "telephone_number": "210-427-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E QUINCY ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151934",
            "telephone_number": "210-427-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKOLWE",
        "first_name": "MELINDA",
        "middle_name": "NABWOBA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1264887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meganne Muir, MA, CCC, SLP
• Tiffany Michelle Muirhead, LPN, MHA
• Alfredo Mujica Jr.
• Grace Mukamana, MD
• Lipilekha Mukherjee, MD
• Adeline Mukwamugo
• Jerodine N Mukweyi
• Michelle Jeanine Muldrow, D.O.
• Paraic Joseph Mulgrew, MD
• Kelsey Mulholland, RDN

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.