Rebecca L. Melniczuk, D.P.T.
Individual provider Active NPI Physical Therapist · Woodstown, NJ
NPI 1497900351 · NPPES record last updated Oct 5, 2015
Key facts
- NPI
- 1497900351
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT018349 (PA)
- Practice address
- 84 E Grant St
Suite #3
Woodstown, NJ 08098-1400 - Phone
- (856) 769-4564
- Fax
- (856) 769-4637
- NPI assigned
- Nov 19, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Woodstown Physical Therapy, Inc.
Practice addresses (Care Compare)
84 E Grant St
Suite 3
Woodstown, NJ 08098-1400
Phone (856) 769-4564
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131231000504 | NJ | Practitioner - Physical Therapist in Private Practice | 2466501341 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT018349 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodstown Physical Therapy, Inc. | Physical Therapist | Current |
Accepting new patients |
| Jag-One Physical Therapy, LLC | Physical Therapist | Past |
Accepting new patients |
Locations
84 E Grant St
Ste 3
Woodstown, NJ 08098
Phone (856) 769-4564
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT018349 | PA | Yes |
Addresses
Primary practice location
84 E Grant St
Suite #3
Woodstown, NJ 08098-1400
Mailing address
84 E Grant St
Suite #3
Woodstown, NJ 08098-1400
Phone (856) 769-4564
Other providers in Woodstown, NJ
- Patricia Lindstrom
- Margaret L. Hurley, DO, LLC
- Jolie Hamilton Shimp Master
- Brionna Masterson
- Dylan James McDivitt
- Emily Ann Morrison
- Paul George Nicholas III
- Pafacom, Inc.
- Brian J Pahlow
- Kristina M. Parkin
All providers in Woodstown, NJ · Physical Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.