Individual provider Active NPI

Melanie H Deveikas, PT

  • Physical Therapist
  • Waltham, MA
National Provider Identifier
1861883001
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10333 Issued in MA
Practice address
425 Waverley Oaks Rd
Waltham, MA 02452
Phone
(781) 373-3620
Fax
(781) 373-3395
NPI assigned
Feb 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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 10333 MA Primary

Addresses

Primary practice location

425 Waverley Oaks Rd
Waltham, MA 02452

Mailing address

1 Credit Union Way FL 3
Randolph, MA 02368-4633
Phone (781) 961-3370

Other practice location 1

22 Mill St Ste 406
Arlington, MA 02476-4744
Phone (781) 646-8440

Other names 1

  • Melanie Hayes Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150323000368 MA Practitioner - Physical Therapist in Private Practice 8820315344 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upper Hand Therapy and Training, LLCGroup PAC ID 1658746078, 3 clinicians

Practice addresses (Care Compare)

22 Mill St
Arlington, MA 02476-4744
Phone (781) 643-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10333MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Hand Therapy & Training, LLC Physical Therapist CurrentSince Jan 6, 2023 Accepting new patients
Bay State Physical Therapy of Randolph Inc CurrentSince Aug 14, 2019 Accepting new patients

Locations

22 Mill St
Ste 302
Arlington, MA 02476
Phone (781) 643-7000

22 Mill St
Ste 406
Arlington, MA 02476
Phone (781) 646-8440

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

1 Credit Union Way
Fl 3
Randolph, MA 02368
Phone 7819613370225

1054 County St
Somerset, MA 02726
Phone (508) 674-3340

425 Waverly Oaks Rd
Waltham, MA 02452
Phone (781) 373-3620

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.

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1861883001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CREDIT UNION WAY FL 3",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684633",
            "telephone_number": "781-961-3370",
            "fax_number": "781-961-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 WAVERLEY OAKS RD",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "02452",
            "telephone_number": "781-373-3620",
            "fax_number": "781-373-3395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Mill St Ste 406",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "MA",
            "postal_code": "024764744",
            "country_code": "US",
            "telephone_number": "781-646-8440",
            "fax_number": "781-643-7542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVEIKAS",
        "first_name": "MELANIE",
        "middle_name": "H",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-10",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "10333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "HAYES",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.