Melissa Robin Ommundsen, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

028671-1 Issued in NY

Practice address

10 Alder Dr
Kings Park, NY 11754-2202

Phone

(631) 360-3615

NPI assigned

Oct 20, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1821170390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ALDER DR",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117542202",
            "telephone_number": "631-360-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ALDER DR",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117542202",
            "telephone_number": "631-360-3615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 Old Willets Path",
            "address_purpose": "LOCATION",
            "city": "Hauppauge",
            "state": "NY",
            "postal_code": "117884105",
            "country_code": "US",
            "telephone_number": "631-232-5350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMMUNDSEN",
        "first_name": "MELISSA",
        "middle_name": "ROBIN",
        "name_prefix": "Dr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028671-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly M Nunziata, LMT
• Joan O'Connor, LMHC
• Pamela Jeanne O'Leary
• Melissa Danielle O'Shea, RD
• Barbara Ann Ogrady, RN
• Salvatore Oreste, RPH
• Maureen M. Orsen, MD
• Ty Dodson Osborne, DDS
• Monica Oswald, PH.D.
• Michael Palazzo

• Physical Therapist in Kings Park, NY
• Providers in Kings Park, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.