Individual provider Active NPI

Melissa Michelle Cavender, PT

  • Physical Therapist
  • Anniston, AL
National Provider Identifier
1053028076
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH5316 Issued in AL
Practice address
2111 US Highway 78 E
Anniston, AL 36207-8357
Phone
(256) 832-1988
NPI assigned
Oct 31, 2022
Last updated
Jun 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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 PTH5316 AL Primary

Addresses

Primary practice location

2111 US Highway 78 E
Anniston, AL 36207-8357

Mailing address

716 Evans Bridge Rd
Heflin, AL 36264-2148
Phone (256) 591-1877

Other practice location 1

1622 Church Ave SE
Jacksonville, AL 36265-3200
Phone (256) 365-2792

Other names 1

  • Dr. Lisa Michelle Cavender Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230627002460 AL Practitioner - Physical Therapist in Private Practice 1759749450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2215 Decatur Hwy
Suite 125
Gardendale, AL 35071-2385
Phone (205) 285-8790

800 Pelham Rd S
Jacksonville, AL 36265-2736
Phone (256) 365-2792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH5316ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy-Alabama, LLC Physical Therapist CurrentSince Jun 19, 2023 Accepting new patients
Drayer Physical Therapy Alabama LLC CurrentSince Jun 19, 2023 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jun 19, 2023 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jun 19, 2023 Accepting new patients

Locations

2215 Decatur Hwy
Ste 125
Gardendale, AL 35071
Phone (205) 285-8790

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

4601 Whitesburg Dr SE
Ste 102
Huntsville, AL 35802
Phone (256) 883-1734

1622 Church Ave SE
Jacksonville, AL 36265
Phone (256) 365-2792

800 Pelham Rd S
Jacksonville, AL 36265
Phone (256) 365-2792

Organizations & group practices 4

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": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1053028076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 EVANS BRIDGE RD",
            "city": "HEFLIN",
            "state": "AL",
            "postal_code": "362642148",
            "telephone_number": "256-591-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 US HIGHWAY 78 E",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362078357",
            "telephone_number": "256-832-1988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1622 Church Ave SE",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "AL",
            "postal_code": "362653200",
            "country_code": "US",
            "telephone_number": "256-365-2792",
            "fax_number": "256-365-2793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVENDER",
        "first_name": "MELISSA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH5316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "CAVENDER",
            "middle_name": "MICHELLE",
            "prefix": "DR.",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Anniston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.