Active NPI
Melanne Hilderbrand, DPT
- Physical Therapist
- Red Oak, IA
National Provider Identifier
1609257518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 078633
- Practice address
- 1400 Senate Ave
Red Oak, IA 51566-1271 - Phone
- (712) 623-7163
- NPI assigned
- Jun 16, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 078633 | IA | Primary |
| Physical Therapist | 225100000X | 7780 | SC |
Addresses
Primary practice location
1400 Senate Ave
Red Oak, IA 51566-1271
Mailing address
301 North St
Henderson, IA 51541-5027
Phone (402) 707-5687
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7780 | SC | MD | Mental Health Counselor |
| 078633 | IA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434412800000",
"number": "1609257518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 NORTH ST",
"city": "HENDERSON",
"state": "IA",
"postal_code": "515415027",
"telephone_number": "402-707-5687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 SENATE AVE",
"city": "RED OAK",
"state": "IA",
"postal_code": "515661271",
"telephone_number": "712-623-7163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILDERBRAND",
"first_name": "MELANNE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-16",
"last_updated": "2015-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "078633",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "7780",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Oak, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.