Organization Active NPI

Melanie Grenald McDonald Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1962084012
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MELANIE GRENALD MCDONALD PHYSICAL THERAPY PLLC
Practice address
19 W 21St St RM 404
New York, NY 10010-6877
Phone
(347) 400-5201
NPI assigned
Apr 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Authorized official

Name
Dr. Melanie Grenald McDonald, PTNPI 1144763061
Title
Owner/Physical Therapist
Phone
(347) 400-5201

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

19 W 21St St RM 404
New York, NY 10010-6877

Mailing address

13921 85TH Dr Apt 4G
Briarwood, NY 11435-2752
Phone (347) 400-5201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211001001140 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3870991086 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

19 W 21st St
Ste 104
New York, NY 10010
Phone (347) 400-5201

350 7th Ave
Rm 500
New York, NY 10001
Phone (347) 400-5201

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1962084012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13921 85TH DR APT 4G",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114352752",
            "telephone_number": "347-400-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W 21ST ST RM 404",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106877",
            "telephone_number": "347-400-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANIE GRENALD MCDONALD PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "GRENALD",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "347-400-5201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.