Active NPI
Melissa M Dicke
- Physical Therapist
- Carmel, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 580 E Carmel Dr Ste 208
Carmel, IN 46032 - Phone
- (317) 325-8860
- NPI assigned
- Mar 2, 2010
- Last updated
- Jul 30, 2018
- Sex
- Female
- 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 | Primary |
Addresses
Primary practice location
580 E Carmel Dr Ste 208
Carmel, IN 46032
Mailing address
580 E Carmel Dr Ste 208
Carmel, IN 46032-3314
Phone (317) 325-8860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Therapy Corp | Physical Therapist | Current | Accepting new patients |
| Elite Therapy Corp | Current | Accepting new patients | |
| Elite Home Rehab and Healthcare Corp | Current | Accepting new patients |
Locations
580 E Carmel Dr
Ste 208
Carmel, IN 46032
Phone (317) 325-8860
401 Reynolds Dr
Kokomo, IN 46902
Phone (317) 453-0802
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Elite Home Rehab and Healthcare Corp | Home health agency | 5% Or Greater Direct Ownership Interest (100%) Corporate Officer (75%) W-2 Managing Employee (100%) |
Jun 9, 2016 Jun 9, 2016 Jun 9, 2016 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Carmel, IN
- NPI 1740630110
5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee
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.
-
- Physical Therapist
- Kokomo, IN
- NPI 1235693300
-
- Home Health Agency
- Carmel, IN
- NPI 1740630110
-
- Rehabilitation Clinic/Center
- Lafayette, IN
- NPI 1306493119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1891018073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 E CARMEL DR STE 208",
"city": "CARMEL",
"state": "IN",
"postal_code": "460323314",
"telephone_number": "317-325-8860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 E CARMEL DR STE 208",
"city": "CARMEL",
"state": "IN",
"postal_code": "46032",
"telephone_number": "317-325-8860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKE",
"first_name": "MELISSA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-02",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.