Active NPI
Melissa Ashley Fober, DPT
- Physical Therapist
- Hilton Head Island, SC
National Provider Identifier
1003675455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12488
- Practice address
- 8 Hospital Center Blvd Ste 250
Hilton Head Island, SC 29926-8702 - Phone
- (843) 671-7342
- Fax
- (843) 671-7343
- NPI assigned
- Mar 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12488 | SC | Primary |
Addresses
Primary practice location
8 Hospital Center Blvd Ste 250
Hilton Head Island, SC 29926-8702
Mailing address
8 Hospital Center Blvd Ste 250
Hilton Head Island, SC 29926-8702
Phone (843) 671-7342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241106002432 | SC | Practitioner - Physical Therapist in Private Practice | 4981138492 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1003675455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 HOSPITAL CENTER BLVD STE 250",
"city": "HILTON HEAD ISLAND",
"state": "SC",
"postal_code": "299268702",
"telephone_number": "843-671-7342",
"fax_number": "843-671-7343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 HOSPITAL CENTER BLVD STE 250",
"city": "HILTON HEAD ISLAND",
"state": "SC",
"postal_code": "299268702",
"telephone_number": "843-671-7342",
"fax_number": "843-671-7343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOBER",
"first_name": "MELISSA",
"middle_name": "ASHLEY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-18",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "12488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hilton Head Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.