Active NPI
Pablo Cesar Meilicke, DPT
- Physical Therapist
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 044248
- 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
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 | 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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044248 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| RB Physical and Occupational Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path | Physical Therapist | Current | Accepting new patients |
| University Hospital at Stony Brook | Past | Accepting new patients | |
| One on One Physical Therapy Services PLLC | Physical Therapist | Past | 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
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- 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.
-
- Physical Therapist
- Harrison, NY
- NPI 1396799409
-
- Physical Therapist
- Great Neck, NY
- NPI 1841526399
-
- Physical Therapist
- Brooklyn, NY
- NPI 1790013282
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1215637699
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
-
- Physical Therapist
- Brooklyn, NY
- NPI 1740423219
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
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.