Active NPI
Melissa Nunnally Kerekes, PT
- Physical Therapist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 035629
- Practice address
- 124 W 60TH St
39F
New York, NY 10023-7451 - Phone
- (407) 963-1921
- NPI assigned
- May 14, 2009
- Last updated
- Nov 6, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12124 | NC | |
| Physical Therapist | 225100000X | 035629 | NY | Primary |
Addresses
Primary practice location
124 W 60TH St
39F
New York, NY 10023-7451
Mailing address
124 W 60TH St
39F
New York, NY 10023-7451
Phone (407) 963-1921
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11945 Providence Rd
Charlotte, NC 28277-4454
Phone (980) 245-2676
1251 E Hudson Blvd
Gastonia, NC 28054-6102
Phone (704) 865-5556
7745 Little Ave
Charlotte, NC 28226-8168
Phone (704) 541-9333
980 Chestnut LN
Matthews, NC 28104-8543
Phone (980) 585-9293
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Weston Group Inc. | Physical Therapist | Current | Accepting new patients |
| The Weston Group Inc | Physical Therapist | Current | Accepting new patients |
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.
-
- Physical Therapist
- Matthews, NC
- NPI 1992689582
-
- Physical Therapist
- Easton, PA
- NPI 1750250759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352160000000",
"number": "1093949372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 W 60TH ST",
"address_2": "39F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100237451",
"telephone_number": "407-963-1921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 W 60TH ST",
"address_2": "39F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100237451",
"telephone_number": "407-963-1921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEREKES",
"first_name": "MELISSA",
"middle_name": "NUNNALLY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-14",
"last_updated": "2012-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "12124",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "035629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.