Melody a Espiritu Physical Therapist PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MELODY A ESPIRITU PHYSICAL THERAPIST PC

Practice address

2805 Veterans Memorial Hwy Ste 8
Lake Ronkonkoma, NY 11779-7680

Phone

(631) 676-6324

Fax

(631) 676-6327

NPI assigned

Jan 21, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Melody A Espiritu, PHYSICAL THERAPISTNPI 1710947429

Title

Owner

Phone

(631) 676-6324

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melody A Espiritu, PT

  • Physical Therapist
  • Ronkonkoma, NY
  • NPI 1710947429
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1598417487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117550111",
            "telephone_number": "631-676-6324",
            "fax_number": "631-676-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 VETERANS MEMORIAL HWY STE 8",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117797680",
            "telephone_number": "631-676-6324",
            "fax_number": "631-676-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELODY A ESPIRITU PHYSICAL THERAPIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "ESPIRITU",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-676-6324",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna M McKenzie, FNP
• Nicole McLaughlin
• Medi Active Wheels LLC
• Medical Group Pharmacy Inc
• Mitchell Elliott Mehlman
• Farrah L Merendina, RPH
• Kimberly Messina, P.T.
• Mariam Millian Meyers, PHARM.D
• Michael Creta, DO
• Jessica Michels

• Physical Therapist in Lake Ronkonkoma, NY
• Providers in Lake Ronkonkoma, NY by specialty
• Physical Therapist in New York

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