Active NPI
Melinda Callender
- Physical Therapist
- Tyler, TX
National Provider Identifier
1508488446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1047645
- Practice address
- 1136 E Grande Blvd
Tyler, TX 75703-3982 - Phone
- (903) 592-5601
- NPI assigned
- May 14, 2020
- 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 | 1047645 | TX | Primary |
Addresses
Primary practice location
1136 E Grande Blvd
Tyler, TX 75703-3982
Mailing address
1136 E Grande Blvd
Tyler, TX 75703-3982
Phone (903) 592-5601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1047645 | Other | TX | PHYSICAL THERAPY |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589414400000",
"number": "1508488446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1136 E GRANDE BLVD",
"city": "TYLER",
"state": "TX",
"postal_code": "757033982",
"telephone_number": "903-592-5601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1136 E GRANDE BLVD",
"city": "TYLER",
"state": "TX",
"postal_code": "757033982",
"telephone_number": "903-592-5601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLENDER",
"first_name": "MELINDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-14",
"last_updated": "2020-05-14",
"certification_date": "2020-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1047645",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY",
"identifier": "1047645",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.