Melina Nicole Harrington, DPT | |
3100 S Woodruff Ave, Idaho Falls, ID 83404-8310 | |
(208) 523-8879 | |
Not Available |
Full Name | Melina Nicole Harrington |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 3 Years |
Location | 3100 S Woodruff Ave, Idaho Falls, Idaho |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639756620 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-7215 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ellis Physical Therapy And Associates Llc | 0244660710 | 4 |
Lake City Physical Therapy P A | 3678465234 | 14 |
Provider Name | Ellis Physical Therapy And Associates Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821628645 PECOS PAC ID: 0244660710 Enrollment ID: O20200423002867 |
Mailing Address | Practice Location Address |
---|---|
Melina Nicole Harrington, DPT 68 N 4161 E, Rigby, ID 83442-1515 Ph: (360) 509-4114 | Melina Nicole Harrington, DPT 3100 S Woodruff Ave, Idaho Falls, ID 83404-8310 Ph: (208) 523-8879 |
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