Individual provider Active NPI

Melinda Kay Giles, DPT

  • Pediatric Physical Therapist
  • Mount Juliet, TN
National Provider Identifier
1649523622
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
9273 Issued in TN
Practice address
686 Poplar Dr
Mount Juliet, TN 37122-4106
Phone
(909) 376-9353
NPI assigned
Oct 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 9273 TN Primary

Addresses

Primary practice location

686 Poplar Dr
Mount Juliet, TN 37122-4106

Mailing address

686 Poplar Dr
Mount Juliet, TN 37122-4106
Phone (909) 376-9353

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121112000644 TN Practitioner - Physical Therapist in Private Practice 1153335500 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9273TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Feltz Therapy Services, LLC CurrentSince May 22, 2022 Accepting new patients

Locations

301 Wolverine Trl
Ste 201
Smyrna, TN 37167
Phone (615) 220-0602

1173 Rock Springs Rd
Ste 105
Smyrna, TN 37167
Phone (615) 220-5756

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1649523622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 POPLAR DR",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371224106",
            "telephone_number": "909-376-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 POPLAR DR",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371224106",
            "telephone_number": "909-376-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILES",
        "first_name": "MELINDA",
        "middle_name": "KAY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TN",
            "license": "9273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.