Kimberly Faith Melvan, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

07968R Issued in LA

Practice address

59 Executive Park S
Suite 1100
Atlanta, GA 30329-2208

Phone

(404) 778-6330

Fax

(404) 778-6370

NPI assigned

Oct 15, 2010

Last updated

Nov 3, 2015By the provider in NPPES

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

Other names 1

• Kimberly Faith Harris Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emory Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Brookhaven, GA
  • NPI 1720097561
  NPD (past)
• Emory Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Duluth, GA
  • NPI 1831108695
  NPD (past)

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1477863157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102831",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682831",
            "telephone_number": "404-778-6330",
            "fax_number": "404-778-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 EXECUTIVE PARK S",
            "address_2": "SUITE 1100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292208",
            "telephone_number": "404-778-6330",
            "fax_number": "404-778-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELVAN",
        "first_name": "KIMBERLY",
        "middle_name": "FAITH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "LA",
            "license": "07968R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "HARRIS",
            "middle_name": "FAITH",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacquelyn Renee Melton, OD
• Jennifer Melton
• Tamara Melton, RD, LD
• Sherry A. Meltz, PSYD
• Carolyn C Meltzer, M.D.
• Charles H. Melville, PH.D.
• Melvin Ball Chiropractic
• Melvin N Abend MD PC
• Amanda Melvin
• Member's Choice Healthcare

• Orthopedic Physical Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Orthopedic Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.