Organization Active NPI

Melinda Ostrom

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1447890264
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MELINDA OSTROM
Doing business as
GAME SUPPORT
Practice address
1111 Morningside PL NE
Atlanta, GA 30306-3061
Phone
(404) 849-8235
NPI assigned
Jan 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Authorized official

Name
Melinda Ostrom, PTNPI 1518909183
Title
Owner, PT
Phone
(404) 849-8235

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1111 Morningside PL NE
Atlanta, GA 30306-3061

Mailing address

1111 Morningside PL NE
Atlanta, GA 30306-3061
Phone (404) 849-8235

Other identifiers 1

IdentifierTypeStateIssuer
003108942BMedicaidGA

Other names 1

  • GAME SUPPORT Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1447890264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MORNINGSIDE PL NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063061",
            "telephone_number": "404-849-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MORNINGSIDE PL NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063061",
            "telephone_number": "404-849-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELINDA OSTROM",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "OSTROM",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "OWNER, PT",
        "authorized_official_telephone_number": "404-849-8235",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003108942B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GAME SUPPORT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GAME SUPPORT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.