Organization
MELLEVORE, LLC
Active
Organization
MELLEVORE, LLC
Active
Other names
Mathis Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MATHIS OTD, CHT (OWNER)
(785) 320-6616
Entity
Organization
Contact information
Practice address
935 E 4TH ST, JUNCITON CITY, KS 66441
(785) 579-6790
(785) 579-6792
Mailing address
1228 WESTLOOP PL, #159, MANHATTAN, KS 66502-2840
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1103031
KS
225X00000X
Occupational Therapist
1700445
KS
235Z00000X
Speech-Language Pathologist
3339
KS
Other
Enumeration date
02/14/2017
Last updated
01/23/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up