Active NPI
Melody K Rattanapote-Malaney, DPT
- Physical Therapist
- Socorro, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4590
- 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, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4590 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Outcomes, Inc. | Physical Therapist | Current | Accepting new patients |
| Armada Physical Therapy of Albuquerque LLC | Current | 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.
-
dba Armada Physical Therapy
- Multi-Specialty Clinic/Center
- Albuquerque, NM
- NPI 1851713663
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
- Presbyterian Healthcare Services (Socorro General Hospital Home Healthcare)
- Presbyterian Medical Services (Socorro Community Health Cntr)
- Presbyterian Medical Services (PMS-Socorro Mental Health)
- Promises Kept Home Healthcare LLC
- Carl Quintana, LMSW
- Amy Allison Ray, LPCC
- Norman John Reid, MD
- Kristi Resener, DOM
- Catherine L Rico, LPCC
- Ivonne Riley, LMSW
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.