Individual provider Active NPI

Melissa McEnroe, DPT

  • Physical Therapist
  • Miles City, MT
National Provider Identifier
1144705633
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTP-PT-LIC-15166 Issued in MT
Practice address
2600 Wilson St
Miles City, MT 59301-5094
Phone
(406) 233-2600
NPI assigned
Oct 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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 PTP-PT-LIC-15166 MT Primary

Addresses

Primary practice location

2600 Wilson St
Miles City, MT 59301-5094

Mailing address

315 Charles St Apt 27
Miles City, MT 59301-4158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240321000563 NC Practitioner - Physical Therapist in Private Practice 1254778665 Reassigns benefits to 1 organization
I20241125001201 TN Practitioner - Physical Therapist in Private Practice 1254778665 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTP-PT-LIC-15166MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Firsthealth of the Carolinas, Inc. Current Accepting new patients
Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic CurrentSince Mar 1, 2024 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince Oct 14, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Oct 14, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Oct 14, 2024 Accepting new patients
Firsthealth of the Carolinas, Inc. CurrentSince Mar 1, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

923 W 3rd St
Pembroke, NC 28372
Phone (910) 521-0564

3810 Central Pike
Ste 102
Hermitage, TN 37076
Phone (615) 915-5000

3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080

Organizations & group practices 6

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": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1144705633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 CHARLES ST APT 27",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593014158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 WILSON ST",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593015094",
            "telephone_number": "406-233-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCENROE",
        "first_name": "MELISSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-15166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miles City, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.