Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043269582 Individual Practitioner Female Practitioner

Lisa A Mellow , PT

Physical Therapist • Johnston, RI

Professional Overview & Biography Verified Profile Summary

Lisa Mellow, PT is a registered healthcare professional specializing in Physical Therapist in Johnston, RI. Practice services are available at 1524 ATWOOD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1524 Atwood Ave
Dba/robert Buonanno

Johnston, RI 029193228

Telephone 4013516200
Fax 4013516201
Associated Practice Facility / Clinic
🏢 Ophthalmic Surgeons, Ltd Facility NPI 1518952258

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Johnston, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.4 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
32 Specialists

Practicing in Johnston, RI (1248 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License RI PT00687

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs
7354 (RI)
Commercial Insurance / Payer ID Bluechip
204194/409026 (RI)
Commercial Insurance / Payer ID Coventry Health
1215115
Commercial Insurance / Payer ID Railroad Medicare
CD1829
Commercial Insurance / Payer ID Unitedhealthcare
050397249 (RI)
Commercial Insurance / Payer ID Pequot Plus Health Plans
050397249
Commercial Insurance / Payer ID Dme Region C
0771230001 (SC)
Commercial Insurance / Payer ID Tufts Health Plans
1043269582
Commercial Insurance / Payer ID Multiplan
12296688
Commercial Insurance / Payer ID First Hlth/coventry/hcvm
050397249

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Dr. Michael Belanger , MD

Orthopaedic Surgery - Sports Medicine

NPI 1114985041

Doctor of Medicine (M.D.)

Stephen Grupp , PT

Physical Therapist

NPI 1265732192

Physical Therapist

Dino Ciarniello , PT

Physical Therapist

NPI 1417080524

Physical Therapist

Dr. Michel Arcand , MD

Orthopaedic Surgery

NPI 1699756791

Doctor of Medicine (M.D.)

Dr. Anthony Buonanno , MD

Orthopaedic Surgery

NPI 1831157759

Doctor of Medicine (M.D.)

Dr. David Moss , MD

Orthopaedic Surgery - Sports Medicine

NPI 1891743068

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 08, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2009

Registered at 1524 ATWOOD AVE, DBA/ROBERT BUONANNO, JOHNSTON, RI 029193228 (Tel: 4013516200)

📍
Updated Business Mailing Address April 08, 2009

Registered at 1524 ATWOOD AVE, DBA/ROBERT BUONANNO, JOHNSTON, RI 029193228 (Tel: 4013516200)

👤
Provider Name / Credentials Updated April 08, 2009

Recorded as LISA MELLOW, P.T.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2009

Physical Therapist (License #PT00687 in RI)

🟢
Initial NPI Registration & Enumeration May 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043269582
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2006
Last Update: April 08, 2009
Sole Proprietor: No

Mailing Address

1524 Atwood Ave, Dba/robert Buonanno

Johnston, RI 029193228

Phone: 4013516200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.