Active NPI
Melissa Lynn Pugh, PT
- Physical Therapist
- Aurora, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070019430
- Practice address
- 2340 S Eola Rd
Aurora, IL 60503 - Phone
- (630) 978-9200
- NPI assigned
- Sep 5, 2012
- Last updated
- Oct 1, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070019430 | IL | Primary |
Addresses
Primary practice location
2340 S Eola Rd
Aurora, IL 60503
Mailing address
811 Lenox Ave
Bolingbrook, IL 60490-4980
Phone (630) 818-5055
Other practice location 1
939 Burlington Ave
Downers Grove, IL 60515-4884
Phone (630) 963-8505
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://momentumphysicaltherapy.com/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Third Eye Bliss PT 1 LLC | Physical Therapist | Current | Accepting new patients |
| Third Eye Bliss Investments, Inc. | Physical Therapist | Current | Accepting new patients |
| Brady, P.C. | Physical Therapist | Current | Accepting new patients |
| Allied Therapy Partners, LLC. | Physical Therapist | Current | Accepting new patients |
| Third Eye Bliss Investments, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
2340 S Eola Rd
Ste 104
Aurora, IL 60503
Phone (630) 978-9200
1337 Lily Cache Ln
Bolingbrook, IL 60490
Phone (630) 226-5110
140 E Boughton Rd
Bolingbrook, IL 60440
Phone (312) 975-7045
12640 S Route 59
Unit 110
Plainfield, IL 60585
Phone (815) 676-3900
15412 S Route 59
Ste 118
Plainfield, IL 60544
Phone (630) 444-7353
Organizations & group practices 5
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.
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Physical Therapist
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- Physical Therapist
- Plainfield, IL
- NPI 1275259731
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- NPI 1114671971
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dba Fyzical Naperville South
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- NPI 1902637309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569888000000",
"number": "1063761104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 LENOX AVE",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604904980",
"telephone_number": "630-818-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 S EOLA RD",
"city": "AURORA",
"state": "IL",
"postal_code": "60503",
"telephone_number": "630-978-9200"
}
],
"practiceLocations": [
{
"address_1": "939 Burlington Ave",
"address_purpose": "LOCATION",
"city": "Downers Grove",
"state": "IL",
"postal_code": "605154884",
"country_code": "US",
"telephone_number": "630-963-8505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUGH",
"first_name": "MELISSA",
"middle_name": "LYNN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-05",
"last_updated": "2019-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070019430",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://momentumphysicaltherapy.com/",
"affiliation": "N",
"endpointDescription": "Website",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "https://momentumphysicaltherapy.com/",
"address_1": "2340 S Eola Rd",
"city": "Aurora",
"state": "IL",
"country_code": "US",
"postal_code": "605036409",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.