Active NPI
Melissa Ferris, PT
- Physical Therapist
- Avon, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05011210A
- Practice address
- 10651 E US Highway 36
Avon, IN 46123-7983 - Phone
- (317) 677-0174
- Fax
- (317) 209-9372
- NPI assigned
- Nov 25, 2013
- Last updated
- Oct 19, 2017
- 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 | 05011210A | IN | Primary |
Addresses
Primary practice location
10651 E US Highway 36
Avon, IN 46123-7983
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other names 1
- Melissa Wynn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10651 E US Hwy 36
Avon, IN 46123-7983
Phone (317) 677-0174
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.3 of 100
- Quality
- 88.48
- Improvement activities
- 40
- Cost
- 72.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Advanced Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
10651 E US Highway 36
Avon, IN 46123
Phone (317) 677-0174
1675 N National Rd
Ste D
Columbus, IN 47201
Phone (812) 799-1257
120 W Smith Valley Rd
Ste C
Greenwood, IN 46142
Phone (317) 807-0223
4950 E Stop 11 Rd
Ste B
Indianapolis, IN 46237
Phone (317) 859-5857
5620 Michigan Rd
#A
Indianapolis, IN 46228
Phone (317) 454-8593
5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579
6920 Gatwick Dr
Ste 120
Indianapolis, IN 46241
Phone (317) 856-1162
8936 Southpointe Dr
Ste A1
Indianapolis, IN 46227
Phone (317) 888-3838
369 Grand Valley Blvd
Martinsville, IN 46151
Phone (765) 349-9255
Organizations & group practices 2
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.
-
dba ATI Physical Therapy
- Physical Therapist
- Indianapolis, IN
- NPI 1316940505
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1700595089
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508371200000",
"number": "1083044242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223",
"fax_number": "630-759-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10651 E US HIGHWAY 36",
"city": "AVON",
"state": "IN",
"postal_code": "461237983",
"telephone_number": "317-677-0174",
"fax_number": "317-209-9372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRIS",
"first_name": "MELISSA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-25",
"last_updated": "2017-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05011210A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "WYNN",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.