Kathleen Irene Mellek, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015744 Issued in PA

Practice address

1448 Windsor Park LN
Havertown, PA 19083

Phone

(610) 517-6864

NPI assigned

Jul 15, 2005

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 names 1

• Kathleen Irene Garrity Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Aime Inc

  • Physical Therapy Clinic/Center
  • Havertown, PA
  • NPI 1932692654
  NPD

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527465600000",
    "number": "1629077268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 WINDSOR PARK LN",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832706",
            "telephone_number": "610-517-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 WINDSOR PARK LN",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "19083",
            "telephone_number": "610-517-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLEK",
        "first_name": "KATHLEEN",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2018-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "GARRITY",
            "middle_name": "IRENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Medical Associates of Drexel Hill, Inc.
• Kimberly Medwid, CRNA
• Edward Mekel, O.D.
• Melanated Healing
• Melissa a. Wesner, Rd, LDN
• Andrew Merrell
• Stuart T Messinger, DDS
• Joanne Michener
• Stephen Miksic, PH.D.
• Gerard A. Miller, M.D.

• Physical Therapist in Havertown, PA
• Providers in Havertown, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2018; 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.