Individual provider Active NPI

Melissa Nicole Thompson, PT, DPT

  • Physical Therapist
  • Royal Oak, MI
National Provider Identifier
1063804615
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501017140 Issued in MI
Practice address
26212 Woodward Ave
Royal Oak, MI 48067-0918
Phone
(248) 268-4155
Fax
(248) 268-4142
NPI assigned
Feb 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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 5501017140 MI Primary

Addresses

Primary practice location

26212 Woodward Ave
Royal Oak, MI 48067-0918

Mailing address

141 Hampton Cir
Rochester Hills, MI 48307-4103
Phone (248) 853-7555

Other names 1

  • Melissa Nicole Groth Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150402002068 MI Practitioner - Physical Therapist in Private Practice 5496072365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neil King Physical Therapy, PCGroup PAC ID 4385722917, 32 clinicians

Practice addresses (Care Compare)

26212 Woodward Ave
Royal Oak, MI 48067-0918
Phone (248) 268-4155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Aug 15, 2020 Accepting new patients
Aquaticare Physical Therapy P.C CurrentSince Aug 23, 2021 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Aug 15, 2020 Accepting new patients
Empower Physical Therapy and Fitness PastSince Aug 23, 2021 Accepting new patients

Locations

600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250

1801 W Maumee St
Ste 125
Adrian, MI 49221
Phone (517) 264-6141

2570 Jackson Ave
Ste C
Ann Arbor, MI 48103
Phone (734) 823-7820

53 W Long Lake Rd
Bloomfield Hills, MI 48304
Phone (248) 742-7000

20554 Hall Rd
Clinton Twp, MI 48038
Phone (586) 598-1247

15501 Metropolitan Pkwy
Ste 102
Clinton Twp, MI 48036
Phone (586) 228-7000

14615 Telegraph Rd
Redford, MI 48239
Phone (313) 334-4298

14615 Telegraph Rd
#1
Redford, MI 48239
Phone (313) 334-4298

Interoperability endpoints

  • Direct secure messaging: melissa.thompson.p4@direct.athleticoltd.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1063804615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 HAMPTON CIR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074103",
            "telephone_number": "248-853-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26212 WOODWARD AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480670918",
            "telephone_number": "248-268-4155",
            "fax_number": "248-268-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MELISSA",
        "middle_name": "NICOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-19",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "GROTH",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.