Active NPI
Elaine Mele, MPT, PCS
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1952567232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13058
- Practice address
- 437 N Gardner St
Los Angeles, CA 90036-5708 - Phone
- (845) 598-1255
- NPI assigned
- Aug 5, 2008
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 020824-1 | NY | |
| Geriatric Physical Therapist | 2251G0304X | 40161 | CA | |
| Pediatric Physical Therapist | 2251P0200X | 40161 | CA | |
| Pediatric Physical Therapist | 2251P0200X | 020824-1 | NY | |
| Sports Physical Therapist | 2251S0007X | 40161 | CA | |
| Orthopedic Physical Therapist | 2251X0800X | 40161 | CA | |
| Physical Therapist | 225100000X | 13058 | MT | Primary |
| Physical Therapist | 225100000X | 40161 | CA |
Addresses
Primary practice location
437 N Gardner St
Los Angeles, CA 90036-5708
Mailing address
437 N Gardner St
Los Angeles, CA 90036-5708
Phone (845) 598-1255
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13058 | MT | MD | Physical Therapist |
| 020824-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1952567232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "437 N GARDNER ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900365708",
"telephone_number": "845-598-1255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "437 N GARDNER ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900365708",
"telephone_number": "845-598-1255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELE",
"first_name": "ELAINE",
"credential": "MPT, PCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-05",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "020824-1",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "CA",
"license": "40161",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CA",
"license": "40161",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "020824-1",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "CA",
"license": "40161",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "40161",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "13058",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "40161",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.