Richard Melville, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

036667 Issued in NY

Practice address

1751 Victory Blvd
Staten Island, NY 10314

Phone

(718) 816-6111

Fax

(718) 816-6112

NPI assigned

Aug 15, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kinetix Physical Therapy PCGroup PAC ID 4284965815, 2 clinicians

Refuah Physical Therapy PCGroup PAC ID 3971744798, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: richard.melville.1@30097.direct.athenahealth.com

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.

• Kinetix Physical Therapy PC

  • Physical Therapist
  • Staten Island, NY
  • NPI 1659930287
  Medicare reassignment Care Compare group NPD Authorized official
• Refuah Physical Therapy, PC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1851636468
  Medicare reassignment Care Compare group
• Bienetre Medical PC

  • Physical Therapist
  • New York, NY
  • NPI 1568037257
  Medicare reassignment NPD
• Royal Oak Social Adult Day Care Inc

  • Adult Day Care Clinic/Center
  • Staten Island, NY
  • NPI 1063160810
  NPD Authorized official

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1912330705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143513",
            "telephone_number": "718-816-6111",
            "fax_number": "718-816-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "718-816-6111",
            "fax_number": "718-816-6112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1351 Forest Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103022049",
            "country_code": "US",
            "telephone_number": "718-390-0060",
            "fax_number": "718-390-0067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELVILLE",
        "first_name": "RICHARD",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-15",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alana Rose Melnik
• Inessa Melnik
• Natalya Melnikova
• Iryna Melnyk, PA
• Susan Meltser, M.S. CCC-SLP TSSLD
• Melvin H Pearson, DDS, PC
• Kristina Mema
• Staci Marie Memmesheimer, F.N.P
• Kanwal Memon
• Mushtaq Memon, MD

• Physical Therapist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.