Active NPI
Melody Mayor, OT
- Physical Therapy Assistant
- Woburn, MA
National Provider Identifier
1669640306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 013006
- Practice address
- 400 W Cummings Park
Woburn, MA 01801-6519 - Phone
- (781) 933-8800
- NPI assigned
- Feb 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 013006 | NY | Primary |
Addresses
Primary practice location
400 W Cummings Park
Woburn, MA 01801-6519
Mailing address
264 16TH St
West Babylon, NY 11704-2737
Phone (631) 991-8057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Physical Therapy Services LLC | Current | Accepting new patients | |
| Sky Physical Therapy, PLLC | Current | Accepting new patients |
Locations
510 Ocean Ave
East Rockaway, NY 11518
Phone (516) 399-2225
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 and National Provider Directory roles.
-
- Physical Therapist
- New York, NY
- NPI 1174560650
-
- Physical Therapist
- Rockville Centre, NY
- NPI 1023243482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203984000000",
"number": "1669640306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "264 16TH ST",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "117042737",
"telephone_number": "631-991-8057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W CUMMINGS PARK",
"city": "WOBURN",
"state": "MA",
"postal_code": "018016519",
"telephone_number": "781-933-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYOR",
"first_name": "MELODY",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-15",
"last_updated": "2008-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "013006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.