Melissa Estelle McBride, PT
Individual provider Active NPI Physical Therapist · Mannford, OK
NPI 1053529552 · NPPES record last updated Jan 22, 2024
Key facts
- NPI
- 1053529552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 3802 (OK)
- Practice address
- 112 Evans Avenue
Mannford, OK 74044 - Phone
- (918) 865-7020
- Fax
- (918) 865-7039
- NPI assigned
- May 18, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Functional Pathways Preferred of Tennessee LLC
Practice addresses (Care Compare)
7300 E 121St PL S
Bixby, OK 74008-5875
Phone (888) 531-2204
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220810000272 | OK | Practitioner - Physical Therapist in Private Practice | 4880077783 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3802 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Results Therapy Services LLC | Physical Therapist | Current |
Accepting new patients |
| Functional Pathways Preferred of Tennessee LLC | Physical Therapist | Current |
Accepting new patients |
Locations
10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2847
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3802 | OK | Yes |
Addresses
Primary practice location
112 Evans Avenue
Mannford, OK 74044
Mailing address
PO Box 361
Mannford, OK 74044-0361
Phone (918) 862-7020
Other providers in Mannford, OK
- Mannford Public Schools
- Mannford Public Schools
- Mannford Vision Clinic, PLLC
- Lyndzey Kathleen Mason
- Charles Henry Matlock Jr.
- Mercer Health Inc
- Mark A. Mercer
- Barbara Ann Murphy
- Ashley Morgan Mushrush
- Christa Nelson
All providers in Mannford, OK · Physical Therapist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.