Active NPI
Melisa M Hamera
- Orthopedic Physical Therapist
- Las Vegas, NV
National Provider Identifier
1710520028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Practice address
- 8751 W Charleston Blvd Ste 270
Las Vegas, NV 89117-5497 - Phone
- (702) 982-2232
- Fax
- (702) 982-2237
- NPI assigned
- Oct 21, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT34826 | FL | |
| Physical Therapist | 225100000X | FL | ||
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
8751 W Charleston Blvd Ste 270
Las Vegas, NV 89117-5497
Mailing address
3400 N Lecanto Hwy Ste B
Beverly Hills, FL 34465-3548
Phone (352) 527-8489
Other names 1
- Melisa M Kabilizya
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4598 | NV | MD | General Practice Dentistry |
| PT34826 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Luna Care Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362
Networks
- Freedom Health HMO Network
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.
-
- Physical Therapist
- Peoria, AZ
- NPI 1629698147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1710520028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 N LECANTO HWY STE B",
"city": "BEVERLY HILLS",
"state": "FL",
"postal_code": "344653548",
"telephone_number": "352-527-8489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8751 W CHARLESTON BLVD STE 270",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891175497",
"telephone_number": "702-982-2232",
"fax_number": "702-982-2237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMERA",
"first_name": "MELISA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-21",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT34826",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISA",
"last_name": "KABILIZYA",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.