MEDICARE: UNION MELODY THERAPY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1699637363
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNION MELODY THERAPY INC

Provider Business Mailing Address
First Line	:	2559 23RD ST FL 1
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11102-2931
Country	:	US
Telephone Number	:	929-400-2910
Fax Number	:

Provider Business Practice Location Address
First Line	:	3272 STEINWAY ST STE 302
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11103-4183
Country	:	US
Telephone Number	:	929-400-2910
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MELODY BAUTISTA
Credential	:	PT, CLT
Telephone Number	:	929-400-2910

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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