MRS. MELISSA IVY DIAMOND PT
NPI 1811263619
Physical Therapist - Pediatrics in Long Island City, NY

Active since March 26, 2012
1430 BROADWAY, LONG ISLAND CITY, NY 11106(718) 545-7095 Get Directions Write a Review

NPPES record last updated: March 26, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Melissa Ivy Diamond Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MELISSA IVY DIAMOND PT (NPI 1811263619) is an individual pediatrics provider in Long Island City, New York, licensed in New York (023906-1) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1811263619
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameMRS. MELISSA IVY DIAMONDCredential: PT
Location Address1430 BROADWAYLong Island City, NY 11106-4530
Mailing Address1430 BroadwayLong Island City, NY 11106-4530 · (718) 545-7095
Sole ProprietorYes
Enumeration DateMarch 26, 2012
NPI 1811263619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License Licensed in NY · 023906-1
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

1430 BROADWAY, Long Island City, NY 11106

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (School)
1430 BROADWAY
ASTORIA, NY 11106
Occupational Therapist
1430 BROADWAY, ROOM 503
LONG ISLAND CITY, NY 11106
Speech-Language Pathologist
1430 BROADWAY
LONG ISLAND CITY, NY 11106
Speech-Language Pathologist
1430 BROADWAY, ROOM 463
LONG ISLAND CITY, NY 11106
Student in an Organized Health Care Education/Training Program
1430 BROADWAY
LONG ISLAND CITY, NY 11106
Counselor (Mental Health)
1430 BROADWAY
ASTORIA, NY 11106
Social Worker (Clinical)
1430 BROADWAY
ASTORIA, NY 11106
Social Worker
1430 BROADWAY
LONG ISLAND CITY, NY 11106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811263619, enumerated as an "individual" on March 26, 2012.

The provider is located at 1430 BROADWAY LONG ISLAND CITY, NY 11106 and the phone number is (718) 545-7095.

Physical Therapist with taxonomy code 2251P0200X and a focus in Pediatrics.