Melanie Rita Carlone, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

784 Nantucket Ave
Eugene, OR 97404-2719

Phone

(541) 790-2092

Fax

(541) 636-5352

NPI assigned

Nov 8, 2006

Last updated

Jul 21, 2022By the provider in NPPES

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

• Melanie Carlone Kilmarx Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Custom Orthotic Solutions, Inc.

  • Physical Therapy Clinic/Center
  • Eugene, OR
  • NPI 1144609009
  Authorized official Same address or phone
• Custom Orthotic Solutions Inc

  • Physical Therapy Clinic/Center
  • Eugene, OR
  • NPI 1811401672
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1588734792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 NANTUCKET AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042719",
            "telephone_number": "541-790-2092",
            "fax_number": "541-636-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 NANTUCKET AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042719",
            "telephone_number": "541-790-2092",
            "fax_number": "541-636-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLONE",
        "first_name": "MELANIE",
        "middle_name": "RITA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON STATE LICENSE",
            "identifier": "06505",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "PT004233",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "KILMARX",
            "middle_name": "CARLONE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madison Carleton
• Carley K Cantwell
• Caitlin Carlini
• Kimberly Leann Hawes Carlisle
• Robert M Carlock, D.C.
• Amy Carlsen
• Asa Raymon Carlson, MA
• Colby Carlson, DPM
• Dominique Rachel Carlson
• Jeremy Carlson

• Physical Therapist in Eugene, OR
• Providers in Eugene, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.