Sandra Lynne Melanson, RPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

0252080000 Issued in WA

Practice address

3330 Monte Villa Pkwy
Bothell, WA 98021-8972

Phone

(425) 408-7709

NPI assigned

Nov 30, 2012

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354233600000",
    "number": "1477898567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22907 NE 165TH ST",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980777405",
            "telephone_number": "425-408-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 MONTE VILLA PKWY",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218972",
            "telephone_number": "425-408-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELANSON",
        "first_name": "SANDRA",
        "middle_name": "LYNNE",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-30",
        "last_updated": "2012-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "WA",
            "license": "0252080000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urvashi Mehta, DPT,NCS
• Meier Clinics of California Inc
• Meier Clinics of California, Inc.
• Katrina Meiusi
• Melissa Coleen Mejias, LICSW
• Julio Melendez
• Alexandra Melnik, LMHCA
• Abel Mendez Covarrubias
• Leah Mendoza
• Barbara S Mendrey, M.D.

• Pediatric Physical Therapist in Bothell, WA
• Providers in Bothell, WA by specialty
• Pediatric Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.