Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clinton Melliza Magno

Individual provider Physical Therapist · NPI 1487369229

Clinton Melliza Magno is a Physical Therapist in Beloit, Wisconsin. Practices as a sole proprietor and works from 2 locations. Licensed in Massachusetts, New York and Wisconsin.

Licensed in
MA, NY, WI
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

2121 Pioneer Dr
Beloit, WI 53511-3025
Phone: (608) 365-9526
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5790 S 27th St, Milwaukee, WI 53221-4129 — (414) 282-1300

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 14502-24 (WI)
Physical Therapist Taxonomy 225100000X · Licence 042424-01 (NY)
Physical Therapist Taxonomy 225100000X · Licence 24302 (MA)

Record details

NPI number1487369229
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 17, 2023
Last updated in NPPESJanuary 17, 2023
Certification dateJanuary 12, 2023

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