Melvin M Paradero, R.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT8167 Issued in FL

Practice address

123 US 27 S
Suite 2
Lake Placid, FL 33852-7918

Phone

(863) 465-4412

Fax

(863) 465-7790

NPI assigned

Jul 26, 2006

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368748800000",
    "number": "1831112291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 US 27 S",
            "address_2": "SUITE 2",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338527918",
            "telephone_number": "863-465-4412",
            "fax_number": "863-465-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 US 27 S",
            "address_2": "SUITE 2",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338527918",
            "telephone_number": "863-465-4412",
            "fax_number": "863-465-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARADERO",
        "first_name": "MELVIN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2013-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT8167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PT8167",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Lake Placid, FL
• Providers in Lake Placid, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.