Individual provider Active NPI

Melissa Still, PT

  • Physical Therapist
  • Springdale, AR
National Provider Identifier
1043249410
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2864 Issued in AR
Practice address
3291 S Thompson St
Suite C103
Springdale, AR 72764-7043
Phone
(479) 750-3535
Fax
(479) 750-3539
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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 2864 AR Primary

Addresses

Primary practice location

3291 S Thompson St
Suite C103
Springdale, AR 72764-7043

Mailing address

3291 S Thompson St
Suite C103
Springdale, AR 72764-7043
Phone (479) 750-3535

Other names 1

  • Melissa Owens Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170906003547 AR Practitioner - Physical Therapist in Private Practice 9436422813 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2864ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wolf Wellness Center, PLLC CurrentSince Feb 1, 2019 Accepting new patients
Physician's Therapy Group, LLC Physical Therapist Past Accepting new patients
Spine and Sports Therapy LLC Physical Therapist PastSince Feb 1, 2019 Accepting new patients

Locations

23 Parkcliff Dr
Holiday Island, AR 72631
Phone (479) 244-6395

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1043249410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3291 S THOMPSON ST",
            "address_2": "SUITE C103",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727647043",
            "telephone_number": "479-750-3535",
            "fax_number": "479-750-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3291 S THOMPSON ST",
            "address_2": "SUITE C103",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727647043",
            "telephone_number": "479-750-3535",
            "fax_number": "479-750-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILL",
        "first_name": "MELISSA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "2864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "OWENS",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.

Verify at the official NPI Registry.