Melody K Rattanapote-Malaney, DPT
Individual provider Active NPI Physical Therapist · Socorro, NM
NPI 1659775641 · NPPES record last updated Oct 17, 2018
Key facts
- NPI
- 1659775641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 4590 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4590 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Armada Physical Therapy of Albuquerque LLC | Current |
Accepting new patients | |
| Positive Outcomes, Inc. | Physical Therapist | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4590 | NM | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
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
- Melody Rattanapote
Other providers in Socorro, NM
- Presbyterian Healthcare Services
- Presbyterian Medical Services
- Presbyterian Medical Services
- Promises Kept Home Healthcare LLC
- Carl Quintana
- Amy Allison Ray
- Norman John Reid
- Kristi Resener
- Catherine L Rico
- Ivonne Riley
All providers in Socorro, NM · Physical Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.