Individual provider Active NPI

Melissa Mary Richter

  • Physical Therapist
  • Monroeville, PA
National Provider Identifier
1114692191
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT029616 Issued in PA
Practice address
4055 Monroeville Blvd
Monroeville, PA 15146-2522
Phone
(412) 692-9423
NPI assigned
Aug 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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 PT029616 PA Primary

Addresses

Primary practice location

4055 Monroeville Blvd
Monroeville, PA 15146-2522

Mailing address

4055 Monroeville Blvd
Monroeville, PA 15146-2522

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241126000296 IL Practitioner - Physical Therapist in Private Practice 9830624063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

997 N Corporate Cir
Suite B
Grayslake, IL 60030-7822
Phone (847) 223-8001

997 N Corporate Cir B
Grayslake, IL 60030-7822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT029616PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grayslake Rehabilitation and Complete Physical Therapy LLC Physical Therapist CurrentSince Oct 28, 2024 Accepting new patients
Caitlin Chandran MSN, Aprn-Fpa, FNP-BC PLLC PastSince Oct 11, 2022 Accepting new patients

Locations

997 N Corporate Cir
Ste B
Grayslake, IL 60030
Phone (847) 223-8001

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1114692191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 MONROEVILLE BLVD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 MONROEVILLE BLVD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462522",
            "telephone_number": "412-692-9423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHTER",
        "first_name": "MELISSA",
        "middle_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.