Melisa T Crosby, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 8102 Issued in FL

Practice address

505A Atlantic Ave
Interlachen, FL 32148-5433

Phone

(386) 684-9110

Fax

(386) 684-9255

NPI assigned

Aug 31, 2006

Last updated

Feb 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Melisa T Crosby PT PAGroup PAC ID 5597735662, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Melisa T Crosby, PT P.a.

  dba FYZICAL Therapy & Balance Centers

  • Physical Therapist
  • Interlachen, FL
  • NPI 1104937150
  Medicare reassignment Care Compare group NPD
• Melisa T Crosby, PT P.a.

  • Physical Therapy Clinic/Center
  • East Palatka, FL
  • NPI 1306419270
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1104937135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505A ATLANTIC AVE",
            "city": "INTERLACHEN",
            "state": "FL",
            "postal_code": "321485433",
            "telephone_number": "386-684-9110",
            "fax_number": "386-684-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505A ATLANTIC AVE",
            "city": "INTERLACHEN",
            "state": "FL",
            "postal_code": "321485433",
            "telephone_number": "386-684-9110",
            "fax_number": "386-684-9255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "195 S US Highway 17 Ste 1",
            "address_purpose": "LOCATION",
            "city": "East Palatka",
            "state": "FL",
            "postal_code": "321314042",
            "country_code": "US",
            "telephone_number": "386-684-9110",
            "fax_number": "386-684-9255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "MELISA",
        "middle_name": "T",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 8102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y931D",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8853835 00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "Y8180",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Interlachen, FL
• Providers in Interlachen, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.