Cheyenne Mellott

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA011851 Issued in OH

Practice address

830 Boardman Canfield Rd
Youngstown, OH 44512-4213

Phone

(330) 259-9393

NPI assigned

Aug 31, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Insight Clinical Counseling and Wellness

  • Community/Behavioral Health Agency
  • East Liverpool, OH
  • NPI 1376175497
  NPD
• Insight Clinical Counseling and Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • East Liverpool, OH
  • NPI 1992431043

  Single Specialty

  NPD

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1669257184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 CENTER ROAD",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "43920",
            "telephone_number": "330-843-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 BOARDMAN CANFIELD RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445124213",
            "telephone_number": "330-259-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLOTT",
        "first_name": "CHEYENNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA011851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Odel Melewski, APRN
• Alycia Sandra Melia
• Brenna Melia, DIPLOMA
• Melissas Care Konnection
• Teresa E. Mellington, ACNP-BC, AOCNP
• Samantha Anne Melnick
• Kimberly A Melvin
• Mark A Memo, D.O.
• Adreanna Shonelle Mendenhall
• Elmira Mendenhall

• Physical Therapy Assistant in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.