BRENT MELROY (NPI# 1790854701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790854701 |
| Entity Type | Individual |
| Full Name | BRENT MELROY |
| Credential | PT |
| Practice Address |
4940 W. 137th St. Leawood KS 66224-6622 |
| Mailing Address |
12112 W Kellogg St Wichita KS 67235-1100 |
| Practice Telephone | 9132329846 |
| Practice Fax Number | 9132329817 |
| Mailing Telephone | (316) 440-1100 |
| Mailing Fax Number | 3164401089 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
11-03653 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200429520B | 05 | |
| KS | PT LICENSE | 11-03653 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2434 North Woodland, Ste 370, Wichita, KS 67226 | 3166879227 |
| Street Address |
4940 W. 137TH ST. |
| City | LEAWOOD |
| State | KS |
| Zip Code | 66224-6622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629460167 | Mid-america Orthopedics Kc LLC | Durable Medical Equipment & Medical Supplies | 4940 W. 137th St., Leawood, KS 66224-3723 | 2015-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689173981 | Mao Leawood Surgery Center LLC | Clinic/Center | 4940 W 137th Street, Leawood, KS 66224 | 2018-02-02 |
| 1962919324 | Nicole Marie Schroeder | Behavioral Analyst | 5420 W 151rst St., Leawood, KS 66224 | 2018-01-08 |
| 1780101097 | Lisa R. Holland | Speech-Language Pathologist | 5206 W 157th Pl, Overland Park, KS 66224 | 2017-08-28 |
| 1609322338 | Iron Horse Healthcare, Inc. | Home Health | 5401 W. 143rd Street, Leawood, KS 66224 | 2016-09-01 |
| 1184962375 | James Cochran | Counselor | 13720 Roe Ave, Leawood, KS 66224 | 2013-01-22 |
| 1265733075 | Virginia Claire Allen | Physician Assistant | 4963 W. 135th St., Leawood, KS 66224 | 2010-11-10 |
| 1184802712 | Crystal Renee Davis | Physician Assistant | 4963 W. 135th St, Leawood, KS 66224 | 2008-02-06 |
| 1639278666 | Jeffrey W Colyer | Plastic Surgery | 4940b W. 137th St, Leawood, KS 66224 | 2006-09-22 |
| 1568479772 | Robert P Sherman Jr. | Dentist | 4831 W 136th Street, Suite 200, Leawood, KS 66224 | 2006-08-01 |
| 1831165372 | Jocelyn A Wolf | Family Medicine | 5405 151st Street, Leawood, KS 66224 | 2006-02-24 |
| Find all providers in zip 66224 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205370483 | Molly Morrison Britt | Physical Therapist | 10410 Mohawk Rd, Leawood, KS 66206-2596 | 2016-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053971325 | Slpt, LLC | Physical Therapist | 11040 Oakmont Street, Attn: Espt, Overland Park, KS 66210-1100 | 2019-06-18 |
| 1336669217 | Ethan Patrick Koochel | Physical Therapist | 935 E 4th St., Junction City, KS 66441 | 2017-06-22 |
| 1124557772 | David Shank | Physical Therapist | 1675 125th St, Redfield, KS 66769-9529 | 2017-06-07 |
| 1306290119 | Joseph Seyforth | Physical Therapist | 22120 Midland Dr # 1, Shawnee, KS 66226-3554 | 2016-04-18 |
| 1548567399 | Hy Vong A Ha | Physical Therapist | 1931 S Market St, Wichita, KS 67211-4114 | 2011-02-14 |
| 1548585235 | Holly C Lang | Physical Therapist | 10730 Nall Ave Ste 204, Overland Park, KS 66211 | 2010-04-06 |
| 1134355340 | Daniel Edward Laughlin | Physical Therapist | 6501 W 101st Ter, 9506 Nall Avenue, Overland Park, KS 66212-1715 | 2009-06-02 |
| 1538310529 | Mark E Mcintosh | Physical Therapist | 5922 Barkley St, Mission, KS 66202-3269 | 2008-10-08 |
| 1801056429 | Rachel L Halpin | Physical Therapist | 6001 Sw 6th Ave Ste 230, Topeka, KS 66615-1004 | 2008-06-17 |
| 1740463991 | Kim Michelle Yearout | Physical Therapist | 9727 Shannon Woods, Wichita, KS 67226-4102 | 2007-12-11 |
| Find all providers with the same taxonomy | ||||
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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.