NPIMap

Individual provider Active NPI

Melanie A Regan, PT

  • Physical Therapist
  • Rochester Hills, MI
National Provider Identifier
1871713990
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501010922 Issued in MI
Practice address
1555 South Blvd E Ste 120
Rochester Hills, MI 48307-5624
Phone
(248) 267-5650
Fax
(248) 267-5637
NPI assigned
Apr 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 5501010922 MI
Physical Therapist 225100000X 5501010922 MI Primary

Addresses

Primary practice location

1555 South Blvd E Ste 120
Rochester Hills, MI 48307-5624

Mailing address

1555 South Blvd E Ste 120
Rochester Hills, MI 48307-5624
Phone (248) 267-5650

Other practice location 1

2601 Cambridge Court
Ste235
Auburn Hills, MI 48326-2573
Phone (248) 377-1950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Genesys Regional Medical Center Physical Therapist Past Accepting new patients
Boike Medical Services PLLC Past Accepting new patients
William Beaumont Hospital Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1871713990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 SOUTH BLVD E STE 120",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075624",
            "telephone_number": "248-267-5650",
            "fax_number": "810-743-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SOUTH BLVD E STE 120",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075624",
            "telephone_number": "248-267-5650",
            "fax_number": "248-267-5637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Cambridge Court",
            "address_2": "Ste235",
            "address_purpose": "LOCATION",
            "city": "Auburn Hills",
            "state": "MI",
            "postal_code": "483262573",
            "country_code": "US",
            "telephone_number": "248-377-1950",
            "fax_number": "248-377-1962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REGAN",
        "first_name": "MELANIE",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501010922",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.