Melissa Anne Dennis, ATC, PTA

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

003547 Issued in OH

Practice address

600 N Pickaway St
Circleville, OH 43113-1447

Phone

(740) 420-8243

NPI assigned

Dec 12, 2014

Last updated

Dec 12, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418342400000",
    "number": "1033517701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 HAWTHORNE DR",
            "city": "ASHVILLE",
            "state": "OH",
            "postal_code": "431039374",
            "telephone_number": "740-497-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N PICKAWAY ST",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131447",
            "telephone_number": "740-420-8243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "credential": "ATC, PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-12",
        "last_updated": "2014-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "09319",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "003547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY ASSISTANT",
            "identifier": "PTA.09319",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Davison, PRS HS
• Carrie Lynn Debord, LPC
• Meghan J. Debrosse, LPCC
• Johanna Claudine Degenova, RN
• Jessica Denman, LICDC, LSW
• Emily Linnea Dennison, D.D.S.
• Krista Nicole Depugh, BSN, RN
• Julie Detty, RN
• Andrew Devries, MD
• McKenzie Noelle Dewese, RA, CDCA

• Athletic Trainer in Circleville, OH
• Providers in Circleville, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.