MELADJOY THERAPY SERVICES INC
NPI 1376600817
Clinic/Center - Physical Therapy in Mishawaka, IN

Active since January 03, 2007
54473 WHITE TAIL DR, MISHAWAKA, IN 46545(574) 386-7555 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Physical Therapy

About MELADJOY THERAPY SERVICES INC

This page provides the complete NPI Profile along with additional information for Meladjoy Therapy Services Inc, a provider established in Mishawaka, Indiana operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1376600817 assigned on January 2007. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Maynard Villavicencio Utayde Pt (Ceo)

NPI
1376600817 Verify this NPI
Provider Name
MELADJOY THERAPY SERVICES INC
Entity Type
Organization
Location Address
54473 WHITE TAIL DR MISHAWAKA, IN 46545
Location Phone
(574) 386-7555
Mailing Address
54473 WHITE TAIL DR MISHAWAKA, IN 46545
Mailing Phone
(574) 386-7555
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-03-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MAYNARD VILLAVICENCIO UTAYDE PT

Authorized Official Title
CEO
Authorized Official Phone
(574) 386-7570

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Occupational Therapist
54473 WHITE TAIL DR
MISHAWAKA, IN 46545

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376600817, enumerated as an "organization" on January 03, 2007.

The provider is located at 54473 WHITE TAIL DR MISHAWAKA, IN 46545 and the phone number is (574) 386-7555.

Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.