Individual provider Active NPI

Melody K Rattanapote-Malaney, DPT

  • Physical Therapist
  • Socorro, NM
National Provider Identifier
1659775641
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4590 Issued in NM
Practice address
1400 Main St.
Ste 1-2
Socorro, NM 87801-3914
Phone
(058) 364-8995
Fax
(505) 214-5030
NPI assigned
Oct 20, 2014
Last updated
Oct 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physical Therapist 225100000X 4590 NM Primary

Addresses

Primary practice location

1400 Main St.
Ste 1-2
Socorro, NM 87801-3914

Mailing address

PO Box 516626
Los Angeles, CA 90051-0600
Phone (505) 836-4899

Other names 1

  • Melody Rattanapote Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4590NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Outcomes, Inc. Physical Therapist CurrentSince Nov 6, 2023 Accepting new patients
Armada Physical Therapy of Albuquerque LLC CurrentSince Oct 10, 2018 Accepting new patients

Locations

6400 Jefferson St NE
Ste 102
Albuquerque, NM 87109
Phone (505) 344-2922

1400 Main St NW
Ste 12
Los Lunas, NM 87031
Phone (505) 865-4368

1115 N California St
Socorro, NM 87801
Phone (505) 838-1100

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": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1659775641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 516626",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900510600",
            "telephone_number": "505-836-4899",
            "fax_number": "505-214-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MAIN ST.",
            "address_2": "STE 1-2",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "878013914",
            "telephone_number": "058-364-8995",
            "fax_number": "505-214-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATTANAPOTE-MALANEY",
        "first_name": "MELODY",
        "middle_name": "K",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "4590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELODY",
            "last_name": "RATTANAPOTE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Socorro, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.