MYRTZ MELODY REVESENCIO SEVILLA


Address: 160 Beach 99th St, Rockaway Park, NY 11694-2807
Phone: 9165133907

MYRTZ MELODY REVESENCIO SEVILLA (NPI# 1386264224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386264224
Entity Type Individual
Full Name MYRTZ MELODY REVESENCIO SEVILLA
Practice Address 160 Beach 99th St
Rockaway Park
NY 11694-2807
Practice Telephone 9165133907
Mailing Telephone 9165133907
Enumeration Date 2020-04-21
Last Update Date 2020-04-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251H1200X Physical Therapist
Specialization: Hand
24692 MA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 160 BEACH 99TH ST
City ROCKAWAY PARK
State NY
Zip Code 11694-2807

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235775941 Shrok Sayed Elsayed Physical Therapist 234 Beach 124th St, Rockaway Park, NY 11694 2019-11-18
1730720699 Mary Kay A Gibbons Registered Nurse 1 Beach 105 Street, 12f, Rockaway Park, NY 11694 2019-10-02
1275026684 Aba Tree Behavioral Analyst 142 B120 Street, Rockaway Street, NY 11694 2018-06-11
1235640855 Rockaways Asc Development, LLC. Clinic/Center 105-20 Rockaway Beach Blvd, Suite 301, Rockaway Park, NY 11694 2017-10-23
1841721479 Mary Mongelli Behavioral Analyst 414 Beach124 Street, Belle Harbor, NY 11694 2017-03-24
1033659495 Tri Center Community/Behavioral Health 2488 Grand Concourse Suite 417, Bronx, NY 11694 2017-03-06
1083079446 Bernadette Favard Licensed Practical Nurse 140 Beach 114street, Promenaden Ursing Home, Rockaway Park, NY 11694 2015-12-29
1801231808 Matthew Tagliavia Pharmacist 449 Beach 129th St, Belle Harbor, NY 11694 2013-05-03
1831445436 Megan Leigh Hill Social Worker 140 Beach 112th St, Rockaway Park, NY 11694 2012-08-01
1710241112 Scott Blutstein Specialist 411 Beach 133 Street, Rockaway Park, NY 11694 2012-06-29
Find all providers in zip 11694

Taxonomy Information

Taxonomy Code 2251H1200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Hand

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376161778 Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Physical Therapist 2608 Merrick Rd, Bellmore, NY 11710-5715 2020-07-12
1083258560 Anita Dantzig Physical Therapist 14 Technology Dr Ste 5, East Setauket, NY 11733-3469 2019-10-29
1891044418 Hand & Rehabilitation Specialists Ot Pt Slp Pllc Physical Therapist 5144 Sheridan Dr Ste 2, Williamsville, NY 14221-4653 2012-08-29
1235364597 Cindy Becker Physical Therapist 570 Cedar Hill Rd, Far Rockaway, NY 11691 2009-05-15
1982880415 Medina Fitness & Rehab, P.t. P.C. Physical Therapist 5912 Riverdale Ave, Bronx, NY 10471-1603 2008-01-15
1447286349 Northeast Rehabilitation, Inc. Physical Therapist 150 South Pearl Street, Suite A, Pearl River, NY 10965 2006-06-23
1730702416 Muireann Nic Eochaidh Physical Therapist 535 E 70th St, New York, NY 10021-4823 2020-05-28
1326670159 Spear Physical and Occupational Therapy, LLC Physical Therapist 70 Pine St, New York, NY 10005-1522 2020-02-10
1265062731 Spear Physical and Occupational Therapy, LLC Physical Therapist 729 7th Ave, Fl 12, New York, NY 10019-6892 2020-01-23
1104456904 Spear Physical and Occupational Therapy, LLC Physical Therapist 794 Union St, Brooklyn, NY 11215-7724 2020-01-21
Find all providers with the same taxonomy

Competitor

Search similar providers

City ROCKAWAY PARK
Zip Code 11694

Improve Information

Please comment or provide details below to improve the information on MYRTZ MELODY REVESENCIO SEVILLA.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches