Individual provider Active NPI

Brian J Melancon, PT

  • Physical Therapist
  • Montgomery, TX
National Provider Identifier
1730388513
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1173320 Issued in TX
Practice address
18001 Highway 105 W Ste 106
Montgomery, TX 77356-2881
Phone
(936) 582-2464
Fax
(936) 582-4697
NPI assigned
Jul 12, 2007
Last updated
Apr 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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 1173320 TX Primary

Addresses

Primary practice location

18001 Highway 105 W Ste 106
Montgomery, TX 77356-2881

Mailing address

18001 Highway 105 W Ste 106
Montgomery, TX 77356-2881
Phone (936) 582-2464

Other practice location 1

3800 Spencer Hwy Ste F
Pasadena, TX 77504-1250
Phone (713) 943-8573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250928000219 TX Practitioner - Physical Therapist in Private Practice 7113422262 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kingwood Physical Therapy LTDGroup PAC ID 1759488125, 24 clinicians
Cabatherapy ServicesGroup PAC ID 5991788101, 10 clinicians

Practice addresses (Care Compare)

18001 Hwy 105
Suite 106
Montgomery, TX 77356-2881
Phone (936) 582-2464

25311 Interstate 45
Suite B
The Woodlands, TX 77380-3534
Phone (281) 424-7557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cabatherapy Services Physical Therapist CurrentSince Sep 15, 2025 Accepting new patients
Caba Therapy Services Physical Therapist PastSince Sep 15, 2025 Accepting new patients

Locations

3818 Decker Dr
Baytown, TX 77520

605 W Clayton St
Ste H
Dayton, TX 77535
Phone (832) 307-7966

21013 Old Sorters Rd
Ste C
Porter, TX 77365
Phone (281) 747-7445

25311 Interstate 45
Ste B
The Woodlands, TX 77380

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1730388513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18001 HIGHWAY 105 W STE 106",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773562881",
            "telephone_number": "936-582-2464",
            "fax_number": "936-582-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18001 HIGHWAY 105 W STE 106",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773562881",
            "telephone_number": "936-582-2464",
            "fax_number": "936-582-4697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Spencer Hwy Ste F",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775041250",
            "country_code": "US",
            "telephone_number": "713-943-8573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELANCON",
        "first_name": "BRIAN",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1173320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.