Melody Medley-Keith, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1257670 Issued in TX

Practice address

1927 Lohmans Crossing Rd Ste 100
Austin, TX 78734-5241

Phone

(512) 261-0620

Fax

(512) 261-9441

NPI assigned

May 11, 2015

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

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medley Swim Systems IncGroup PAC ID 9931165461, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Medley Swim Systems Inc

  • Physical Therapist
  • Austin, TX
  • NPI 1285676528
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1639557622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 342348",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787340040",
            "telephone_number": "512-261-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 LOHMANS CROSSING RD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787345241",
            "telephone_number": "512-261-0620",
            "fax_number": "512-261-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLEY-KEITH",
        "first_name": "MELODY",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1257670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Medina
• Ryne Juliet Medina
• Sarah Dale Medina
• Medisource Supply Inc
• Medley Swim Systems Inc
• Medlink Clinical Group LLC
• Medlink Clinical Group LLC
• Alisha N Medlock, PT, DPT
• Matthew Morris Medlock, M.D.
• Medlogs Inc.

• Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.