Active NPI
Melanie A Melton, PT
- Physical Therapist
- Waco, TX
National Provider Identifier
1447731617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1115913
- Practice address
- 300 West Highway 6
Waco, TX 76712 - Phone
- (254) 761-8500
- NPI assigned
- Aug 27, 2018
- Last updated
- Aug 27, 2018
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1115913 | TX | Primary |
Addresses
Primary practice location
300 West Highway 6
Waco, TX 76712
Mailing address
104 Towne West Dr
Lorena, TX 76655-9767
Phone (254) 717-6334
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 |
|---|---|---|---|
| 1115913 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535328000000",
"number": "1447731617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 TOWNE WEST DR",
"city": "LORENA",
"state": "TX",
"postal_code": "766559767",
"telephone_number": "254-717-6334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 WEST HIGHWAY 6",
"city": "WACO",
"state": "TX",
"postal_code": "76712",
"telephone_number": "254-761-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELTON",
"first_name": "MELANIE",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-27",
"last_updated": "2018-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1115913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.