Maria Gracely Gopiao Meloy, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1112 Issued in WV

Practice address

1 Madeline CT
Madison, WV 25130-1289

Phone

(304) 345-0867

Fax

(304) 342-2587

NPI assigned

Nov 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ms. Maria Gracely Gopiao Sorongon Former name

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Powerback Rehabilitation LLC

  • Physical Therapist
  • Ona, WV
  • NPI 1336858398
  Medicare reassignment NPD
• WV Therapy Services LLC

  • Specialist
  • Bridgeport, WV
  • NPI 1063692333
  Medicare reassignment NPD
• Powerback Rehabilitation LLC

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761
  NPD

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1508931817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MADELINE CT",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301289",
            "telephone_number": "304-345-0867",
            "fax_number": "304-342-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MADELINE CT",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301289",
            "telephone_number": "304-345-0867",
            "fax_number": "304-342-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELOY",
        "first_name": "MARIA GRACELY",
        "middle_name": "GOPIAO",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "1112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156761000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0206427000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA GRACELY",
            "last_name": "SORONGON",
            "middle_name": "GOPIAO",
            "prefix": "MS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richard A McNeilly, DO, FCCP
• Brandon McNiel
• Glenna Fay McWain
• Kelsey Meadows
• Zackary Austin Meadows
• Virginia Messer
• Kala Mae Messinger
• Nora Messinger
• MGF Group Corp
• Rebecca Lynn Middaugh-Wulf

• Physical Therapist in Madison, WV
• Providers in Madison, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.