MYRTZ MELODY REVESENCIO SEVILLA NPI 1386264224

NPI Information

NPI: 1386264224
Provider Name: MYRTZ MELODY REVESENCIO SEVILLA
Classification: Physical Therapist - 2251H1200X
Entity Type: Individual

Specialization: Hand

Address:
160 BEACH 99TH ST
ROCKAWAY PARK, NY
ZIP 11694
Phone: (916) 513-3907
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Myrtz Melody Revesencio Sevilla is a hand physical therapist in Rockaway Park, NY. Myrtz Melody Revesencio Sevilla NPI is 1386264224. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

160 BEACH 99TH ST
ROCKAWAY PARK, NY
ZIP 11694-807
Phone: (916) 513-3907

The enumeration date for this NPI number is 4/21/2020 and was last updated on 4/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2251H1200X	Physical Therapist	Hand	24692	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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