NPI Code Details Logo

NPI 1780892463

NPI 1780892463 : MELISSA BETH RICH MPT : BOCA RATON, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1780892463
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MELISSA BETH RICH MPT
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/18/2007
-----------------------------------------------------
    Last Update Date     |    09/30/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    7035 BERACASA WAY STE 102 
-----------------------------------------------------
    City                 |    BOCA RATON
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33433-3454
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    561-361-4888
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    23286 ALORA DR 
-----------------------------------------------------
    City                 |    BOCA RATON
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33433-7001
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    561-306-1968
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    PT 14603
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.