Individual provider Active NPI

Pablo Cesar Meilicke, DPT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1861032062
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
044248 Issued in NY
Practice address
2990 Richmond Ave Ste 432
Houston, TX 77098-3115
Phone
(512) 426-6642
NPI assigned
Jan 15, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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 044248 NY Primary

Addresses

Primary practice location

2990 Richmond Ave Ste 432
Houston, TX 77098-3115

Mailing address

71 E Green Gables Cir
The Woodlands, TX 77382-1145
Phone (512) 426-6642

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240305002446 NY Practitioner - Physical Therapist in Private Practice 9830517523 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
044248NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the City of New York Current Accepting new patients
RB Physical and Occupational Therapy PLLC Physical Therapist CurrentSince Dec 11, 2025 Accepting new patients
Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC Physical Therapist CurrentSince May 6, 2025 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Oct 20, 2025 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jan 24, 2024 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Oct 20, 2025 Accepting new patients
University Hospital at Stony Brook PastSince Jan 1, 2020 Accepting new patients
One on One Physical Therapy Services PLLC Physical Therapist PastSince Dec 11, 2025 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

3 Grace Ave
Ste 119
Great Neck, NY 11021
Phone (212) 842-0080

550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737

24 Saw Mill River Rd
Ste 204
Hawthorne, NY 10532
Phone (914) 592-9600

4543 21st St
Fl 2
Long Island City, NY 11101
Phone (347) 589-8100

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

231 Beach 116th St
Rockaway Park, NY 11694
Phone (718) 474-2224

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1861032062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 E GREEN GABLES CIR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773821145",
            "telephone_number": "512-426-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 RICHMOND AVE STE 432",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983115",
            "telephone_number": "512-426-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEILICKE",
        "first_name": "PABLO",
        "middle_name": "CESAR",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-15",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.