Active NPI
Melissa M Tovin, PT, PH.D.
- Physical Therapist
- Weston, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT17112
- Practice address
- 1386 Meadows Blvd
Weston, FL 33327-1804 - Phone
- (954) 385-1428
- NPI assigned
- Jan 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT17112 | FL | |
| Physical Therapist | 225100000X | PT17112 | FL | Primary |
Addresses
Primary practice location
1386 Meadows Blvd
Weston, FL 33327-1804
Mailing address
PO Box 290370
Ft Lauderdale, FL 33329-0370
Phone (954) 262-4346
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 886462400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT17112 | FL | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Southeastern University, Inc | Physical Therapist | Current | Accepting new patients |
| Nova Southeastern University, Inc | Current | Accepting new patients | |
| Nova Southeastern University, Inc | Physical Therapist | Past | Accepting new patients |
Locations
7600 SW 36th St
Rm 1263
Davie, FL 33328
3301 College Ave
Davie, FL 33314
Phone (800) 541-6682
3375 SW 75th Ave
Rm 1021
Davie, FL 33314
Phone (954) 262-4149
3200 S University Dr
Davie, FL 33328
Phone (954) 262-1250
3301 College Ave
Rm 1441
Davie, FL 33314
650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213
Organizations & group practices 3
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.
-
- Optometrist
- Ft. Lauderdale, FL
- NPI 1700924511
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Davie, FL
- NPI 1770722282
Physical Therapist
-
- General Practice Dentistry
- Davie, FL
- NPI 1811288012
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1861548026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 290370",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333290370",
"telephone_number": "954-262-4346",
"fax_number": "954-262-2269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1386 MEADOWS BLVD",
"city": "WESTON",
"state": "FL",
"postal_code": "333271804",
"telephone_number": "954-385-1428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOVIN",
"first_name": "MELISSA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PT, PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-28",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "FL",
"license": "PT17112",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT17112",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "886462400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.