Individual provider Active NPI

David R Melchione, MSPT

  • Physical Therapist
  • Merritt Island, FL
National Provider Identifier
1649379157
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-25544 Issued in FL
Practice address
220 S Courtenay Pkwy Ste B
Merritt Island, FL 32952-4893
Phone
(321) 434-5820
Fax
(321) 434-5821
NPI assigned
Sep 21, 2006
Last updated
Jun 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-25544 FL Primary

Addresses

Primary practice location

220 S Courtenay Pkwy Ste B
Merritt Island, FL 32952-4893

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 434-5820

Other identifiers 3

IdentifierTypeStateIssuer
PT-25544OtherFLSTATE OF FL. PT LICENSE
QY500OtherFLHFMG MA
Y07EYOtherFLFLORIDA BLUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101004001002 FL Practitioner - Physical Therapist in Private Practice 3476585696 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-25544FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Medical Group, LLC CurrentSince Jun 12, 2023 Accepting new patients
Health First Medical Group, LLC CurrentSince Jun 12, 2023 Accepting new patients

Locations

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

220 S Courtenay Pkwy
Ste B
Merritt Island, FL 32952
Phone (321) 434-5820

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1649379157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306",
            "telephone_number": "321-434-5820",
            "fax_number": "321-434-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S COURTENAY PKWY STE B",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329524893",
            "telephone_number": "321-434-5820",
            "fax_number": "321-434-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELCHIONE",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT-25544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FL. PT LICENSE",
            "identifier": "PT-25544",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HFMG MA",
            "identifier": "QY500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "Y07EY",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.