Melanie Grenald McDonald Physical Therapy PLLC
Clinic/Center, Physical Therapy in New York, NY. Organization (NPI-2).
NPI number1962084012
StatusActive
Last updated in NPPESApr 27, 2021
Details
- NPI
- 1962084012
- Entity type
- Organization (NPI-2)
- Legal business name
- Melanie Grenald McDonald Physical Therapy PLLC
- Organization subpart
- No
- Enumeration date
- Apr 27, 2021
- Certification date
- Apr 27, 2021
- Last updated
- Apr 27, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - PHYSICAL/OCCUPATIONAL THERAPY GROUP IN PRI
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Practice location
19 W 21st St Rm 404New York, NY 10010-6877
Phone 347-400-5201
Mailing address
13921 85th Dr Apt 4gBriarwood, NY 11435-2752
Phone 347-400-5201
Authorized official
Melanie Grenald McDonald
Owner/Physical Therapist
3474005201
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