Organization Active NPI

Melanie Massey Physical Therapy Inc

  • Physical Therapist
  • Monroe, LA
National Provider Identifier
1104922475
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MELANIE MASSEY PHYSICAL THERAPY INC
Practice address
3177 Sterlington Rd
Monroe, LA 71203-2517
Phone
(318) 388-1989
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donna Shirey
Title
Credentialing Coordinator
Phone
(318) 504-4316

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

3177 Sterlington Rd
Monroe, LA 71203-2517

Mailing address

PO Box 1377
West Monroe, LA 71294
Phone (318) 396-1969

Other practice location 1

107 Summer Lane
West Monroe, LA 71291
Phone (318) 396-1969

Other practice location 2

1800 Buckner St Ste C249
Shreveport, LA 71101-4447
Phone (318) 934-1969

Other practice location 3

2809 South Service Rd West
Ruston, LA 71270
Phone (318) 232-1969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040510000785 LA Part B Supplier - Clinic/Group Practice 5890784342 Receives reassigned benefits from 43 practitioners
Practice locations: West Monroe, LA
O20141027001825 LA DME Supplier - Independently-Practicing Physical TherapistDME Supplier - Independently-Practicing Occupational Therapist 5890784342 Practice locations: West Monroe, LA

National Provider Directory

National Provider Directory

Locations

3177 Sterlington Rd
Monroe, LA 71203
Phone (318) 388-1989

4401 Sterlington Rd
Monroe, LA 71203
Phone (318) 232-1969

2309 S Service Rd W
Ruston, LA 71270
Phone (318) 232-1969

1800 Buckner St
Ste 249
Shreveport, LA 71101

1800 Buckner St
Ste C249
Shreveport, LA 71101
Phone (318) 934-1969

107 Summer Ln
West Monroe, LA 71291
Phone (318) 396-1969

Practitioners & affiliated clinicians

Practitioners 82

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 82

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1104922475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1377",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "71294",
            "telephone_number": "318-396-1969",
            "fax_number": "318-396-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3177 STERLINGTON RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032517",
            "telephone_number": "318-388-1989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Summer Lane",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "71291",
            "country_code": "US",
            "telephone_number": "318-396-1969",
            "fax_number": "318-396-1969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Buckner St Ste C249",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711014447",
            "country_code": "US",
            "telephone_number": "318-934-1969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2809 South Service Rd West",
            "address_purpose": "LOCATION",
            "city": "Ruston",
            "state": "LA",
            "postal_code": "71270",
            "country_code": "US",
            "telephone_number": "318-232-1969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MELANIE MASSEY PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "SHIREY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "318-504-4316"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.

Verify at the official NPI Registry.