Individual provider Active NPI

Melissa Ann Vallera, DPT

  • Physical Therapist
  • Greenwich, CT
National Provider Identifier
1023323409
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008680 Issued in CT
Practice address
469 W Putnam Ave
Suite 202
Greenwich, CT 06830-6060
Phone
(203) 869-5546
Fax
(203) 629-4836
NPI assigned
Aug 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 008680 CT Primary

Addresses

Primary practice location

469 W Putnam Ave
Suite 202
Greenwich, CT 06830-6060

Mailing address

469 West Putnam Avenue
Suite 202
Greenwich, CT 06830-6896
Phone (203) 869-5546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008680CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Amfit Physical Therapy LLC PastSince Oct 1, 1999 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1023323409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 WEST PUTNAM AVENUE",
            "address_2": "SUITE 202",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306896",
            "telephone_number": "203-869-5546",
            "fax_number": "203-629-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 W PUTNAM AVE",
            "address_2": "SUITE 202",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306060",
            "telephone_number": "203-869-5546",
            "fax_number": "203-629-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLERA",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "008680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.