Individual provider Active NPI

Melody Balajadia Bugarin, PT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1689199622
Registry record updated Aug 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1087658 Issued in TX
Practice address
11650 Possum Hollow LN
Houston, TX 77065-2909
Phone
(832) 688-9335
Fax
(832) 604-7180
NPI assigned
Aug 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1087658 TX Primary

Addresses

Primary practice location

11650 Possum Hollow LN
Houston, TX 77065-2909

Mailing address

11650 Possum Hollow LN
Houston, TX 77065-2909
Phone (832) 688-9335

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1087658TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Houston Healthcare Services Inc Current Accepting new patients

Locations

11650 Possum Hollow Ln
Houston, TX 77065
Phone (832) 688-9335

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502323200000",
    "number": "1689199622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11650 POSSUM HOLLOW LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770652909",
            "telephone_number": "832-688-9335",
            "fax_number": "832-604-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 POSSUM HOLLOW LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770652909",
            "telephone_number": "832-688-9335",
            "fax_number": "832-604-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUGARIN",
        "first_name": "MELODY",
        "middle_name": "BALAJADIA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2017-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1087658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; 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.