Melanie K Blackledge, MS PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 24825 Issued in FL

Practice address

13020 N Telecom Pkwy
Temple Terrace, FL 33637-0925

Phone

(813) 978-9700

Fax

(813) 558-6186

NPI assigned

Aug 23, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arc Rehab Services LLCGroup PAC ID 1153724109, 5 clinicians

Home Stretch Physical Therapy PCGroup PAC ID 4981996923, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Arc Rehab Services LLC

  • Physical Therapy Clinic/Center
  • Oswego, NY
  • NPI 1578131728

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Home Stretch Physical Therapy , P.C.

  • Physical Therapist
  • Syracuse, NY
  • NPI 1326483785
  Medicare reassignment Care Compare group NPD
• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072
  NPD (past)

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1700879947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13020 N TELECOM PKWY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370925",
            "telephone_number": "813-978-9700",
            "fax_number": "813-558-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13020 N TELECOM PKWY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370925",
            "telephone_number": "813-978-9700",
            "fax_number": "813-558-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKLEDGE",
        "first_name": "MELANIE",
        "middle_name": "K",
        "credential": "MS PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 24825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00865877",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brett Birch, DMD
• Magdi Mikhail Bishara, PHARMD.
• Kathleen Bivin, PT
• Alexis Nicole Bivona, MD
• Apryl Michelle Blackard, RN
• Meagan Nicole Blackmon
• Arlene Brewster Blankenship, APRN
• Sonji Blanks, APRN
• Blaque Sugga Designs
• Matthew D Blevins, PT

• Physical Therapist in Temple Terrace, FL
• Providers in Temple Terrace, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.