Organization Active NPI

Therapy by Melanie, LLC.

  • Orthopedic Physical Therapist
  • Mary Esther, FL
National Provider Identifier
1710339726
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT17107 Issued in FL
Legal business name
THERAPY BY MELANIE, LLC.
Practice address
2795 W Highway 98
Mary Esther, FL 32569-2332
Phone
(850) 581-2820
Fax
(850) 807-7328
NPI assigned
Jul 1, 2016
Last updated
Jul 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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

Authorized official

Name
Ms. Melanie Broome, PT
Title
Owner
Phone
(850) 581-2820

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT17107 FL
Sports Physical Therapist 2251S0007X PT17107 FL
Orthopedic Physical Therapist 2251X0800X PT17107 FL Primary

Addresses

Primary practice location

2795 W Highway 98
Mary Esther, FL 32569-2332

Mailing address

2795 W Highway 98
Mary Esther, FL 32569-2332
Phone (850) 581-2820

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1710339726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 W HIGHWAY 98",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325692332",
            "telephone_number": "850-581-2820",
            "fax_number": "850-807-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 W HIGHWAY 98",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325692332",
            "telephone_number": "850-581-2820",
            "fax_number": "850-807-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY BY MELANIE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-01",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "BROOME",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-581-2820",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT17107",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "FL",
            "license": "PT17107",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT17107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mary Esther, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.