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NPI Code Detail

MEDICARE: MRS. MELANIE MARIE THOMAS PT

MEDICARE:  MRS. MELANIE MARIE THOMAS  PT
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
1225100000XPhysical Therapist9839AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19839OTHERAZPT LICENSE

General Provider Information

NPI Number : 1205004611
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELANIE MARIE THOMAS PT
Provider Business Mailing Address
First Line : 8230 EAST VIRGINIA AVENUE
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85257
Country : US
Telephone Number : 909-772-3619
Fax Number :
Provider Business Practice Location Address
First Line : 10101 W PALMERAS DR
Second Line :
City : SUN CITY
State : AZ
Zip : 85373-2046
Country : US
Telephone Number : 877-407-4329
Fax Number : 877-407-4329
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2008
Last Update Date : 04/25/2025

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Directions to “ MRS. MELANIE MARIE THOMAS PT” Practice Location

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