MELLEVORE, LLC (NPI# 1528507258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528507258 |
| Entity Type | Organization |
| Organization Name | MELLEVORE, LLC |
| Other Organization Name | MATHIS PHYSICAL THERAPY |
| Practice Address |
935 E 4th St Junciton City KS 66441 |
| Mailing Address |
1228 Westloop Pl #159 Manhattan KS 66502-2840 |
| Practice Telephone | 7855796790 |
| Practice Fax Number | 7855796792 |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2020-01-23 |
| Authorized Official Name | JEFFREY MATHIS (OWNER) |
| Authorized Official Telephone | 7853206616 |
| Authorized Official Credential | OTD, CHT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 1700445 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 3339 | KS | Speech, Language and Hearing Service Providers |
| Y | 225100000X | Physical Therapist | 1103031 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Mathis Physical Therapy | Doing Business As Name - Organization |
| Street Address |
935 E 4TH ST |
| City | JUNCITON CITY |
| State | KS |
| Zip Code | 66441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952914129 | New Leaf Counseling | Social Worker | 929 S Washington St, Junction City, KS 66441 | 2020-08-28 |
| 1336669217 | Ethan Patrick Koochel | Physical Therapist | 935 E 4th St., Junction City, KS 66441 | 2017-06-22 |
| 1740712298 | Janet Kim Clark | Counselor | 839 N. Eisenhower Drive, Junction City, KS 66441 | 2017-04-03 |
| 1407212186 | Kaila Lynne Mrozinski | Speech-Language Pathologist | 104 S Washington St., Junction City, KS 66441 | 2016-01-11 |
| 1235517822 | Mark Stenstrom | Veterinarian | 106 N Eisenhower Dr, Junction City, KS 66441 | 2015-05-14 |
| 1750777264 | Irwin Army Community Hospital | Clinic/Center | 623 Southwind Drive, Junction City, KS 66441 | 2015-04-10 |
| 1538504816 | Cheryl Annette Morgan | Respiratory Therapist, Certified | 1102 St. Marys Road, Junction City, KS 66441 | 2013-05-01 |
| 1073809604 | Donita M Ryff | Physical Therapy Assistant | 104 S. Washington Ave., Junction City, KS 66441 | 2011-06-22 |
| 1073834602 | Tessa Gutierrez | Counselor | 929 S Washington St., Junction City, KS 66441 | 2010-06-17 |
| 1558509133 | Cecilia Jo Russell | Counselor | 1033-3 South Washington, Junction City, KS 66441 | 2009-02-04 |
| Find all providers in zip 66441 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396974 | Kim Deann Kercher | Physical Therapist | Legacy At Grassland Estates, 10665 W 13th St N Apt 329, Wichita, KS 67212 | 2020-11-04 |
| 1194338376 | Connor Racette | Physical Therapist | 2500 N Main St Ste J, Hutchinson, KS 67502-3651 | 2020-08-26 |
| 1124639182 | Melynda Jade Sanchez | Physical Therapist | 720 W Central Ave Ste 206, El Dorado, KS 67042-2112 | 2020-08-13 |
| 1790394930 | Renewed Movement | Physical Therapist | 24507 W 79th Ct, Lenexa, KS 66227-2815 | 2020-07-23 |
| 1710595822 | Bridgette Johnston | Physical Therapist | 9120 Metcalf Ave, Overland Park, KS 66212-1408 | 2020-07-15 |
| 1588282982 | Ashley Janae Sevart | Physical Therapist | 2300 N Tyler Rd, Wichita, KS 67205-8766 | 2020-07-12 |
| 1699393116 | Christine M Conway | Physical Therapist | 1309 E 19th Ave, Winfield, KS 67156-5201 | 2020-07-10 |
| 1770109597 | Ciarra Myers | Physical Therapist | 1635 Freedom St Ste 900, Derby, KS 67037-7701 | 2020-06-17 |
| 1376168294 | Bayli Ann Palmer | Physical Therapist | 10333 E 21st St N Ste 406, Wichita, KS 67206-3547 | 2020-06-16 |
| 1508481961 | Tyler Tabares | Physical Therapist | 2901 Sw Armstrong Ave, Topeka, KS 66614-5640 | 2020-06-11 |
| Find all providers with the same taxonomy | ||||
| City | JUNCITON CITY |
| Zip Code | 66441 |
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| 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.