Active NPI
Lauren Melancon, DPT
- Physical Therapist
- The Woodlands, TX
National Provider Identifier
1821378951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1209890
- Practice address
- 17350 St Lukes Way
Suite 100
The Woodlands, TX 77384-4100 - Phone
- (936) 321-0333
- Fax
- (936) 271-0333
- NPI assigned
- Aug 20, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1209890 | TX | Primary |
Addresses
Primary practice location
17350 St Lukes Way
Suite 100
The Woodlands, TX 77384-4100
Mailing address
2202 Riva Row
Apt 4320
The Woodlands, TX 77380-3144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1209890 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313798400000",
"number": "1821378951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 RIVA ROW",
"address_2": "APT 4320",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773803144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17350 ST LUKES WAY",
"address_2": "SUITE 100",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773844100",
"telephone_number": "936-321-0333",
"fax_number": "936-271-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELANCON",
"first_name": "LAUREN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-20",
"last_updated": "2011-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1209890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.