Deirdre Melanson

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P160543664 Issued in WA

Practice address

1225 N Argonne Rd # 100
Spokane Valley, WA 99212-2798

Phone

(509) 505-5315

NPI assigned

Nov 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1629841093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 W ROWAN AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992055760",
            "telephone_number": "509-475-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 N ARGONNE RD # 100",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992122798",
            "telephone_number": "509-505-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELANSON",
        "first_name": "DEIRDRE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ID",
            "license": "PTA-8340",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160543664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin K McVey, MD
• Paige L Medeiros
• Medical Oncology Associates, PS
• Debra Medres
• Jared Mehring, DDS
• Christopher James Melich, DC. CSCS
• Melissa a Gray Ma NCC PS
• Michael J Melkers, DDS
• Dorene A Meltingtallow, LMP
• Paul J Meltingtallow, LMP

• Physical Therapy Assistant in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.