Individual provider Active NPI

Melanie Kate Dardani, PT, DPT

  • Physical Therapist
  • Bluffton, SC
National Provider Identifier
1891004024
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1195980 Issued in TX
Practice address
19 Ashley Crossing Dr
Bluffton, SC 29910-9547
Phone
(215) 480-0564
NPI assigned
Oct 5, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1195980 TX Primary
Physical Therapist 225100000X 25508 FL

Addresses

Primary practice location

19 Ashley Crossing Dr
Bluffton, SC 29910-9547

Mailing address

19 Ashley Crossing Dr
Bluffton, SC 29910-9547
Phone (215) 480-0564

Other names 1

  • Dr. Melanie Kate Di Leonardo Former name

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

State licenses

LicenseStateTypeSpecialty
25508FLMDPhysical Therapist
1195980TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportherapy LLC Physical Therapist CurrentSince Sep 20, 2019 Accepting new patients

Locations

8857 Davis Blvd
Keller, TX 76248

8857 Davis Blvd
Ste 100
Keller, TX 76248
Phone (817) 413-8700

Organizations & group practices 1

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": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1891004024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 ASHLEY CROSSING DR",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299109547",
            "telephone_number": "215-480-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 ASHLEY CROSSING DR",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299109547",
            "telephone_number": "215-480-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARDANI",
        "first_name": "MELANIE",
        "middle_name": "KATE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-05",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1195980",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "25508",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "DI LEONARDO",
            "middle_name": "KATE",
            "prefix": "DR.",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.