Melana T Tysowsky

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT016513 Issued in OH

Practice address

6555 Clyo Rd
Centerville, OH 45459-2765

Phone

(513) 803-8158

Fax

(513) 803-1111

NPI assigned

Jul 18, 2018

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Children'S Hospital Medical Center

  • Pediatrics Physician
  • Cincinnati, OH
  • NPI 1609915784

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1770069205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 CLYO RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592765",
            "telephone_number": "513-803-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 CLYO RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592765",
            "telephone_number": "513-803-8158",
            "fax_number": "513-803-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSOWSKY",
        "first_name": "MELANA",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT016513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2187155",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "AB7360731",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trihealth, Inc.
• Tori Denee Trochelman Evers, NP
• Tubb Family Chiropractic
• Brenda J Tucker, CDA
• Kennedi Turner
• Rita Obianuju Udoh, RN; BSN
• Petre Udrea, M.D.
• Sahar Marie Ullery, D.D.S.
• Unique Solutions Management Company LLC
• Unity Care Group LLC

• Physical Therapist in Centerville, OH
• Providers in Centerville, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.