Active NPI
Melissa Erin Johnson, P.T.
- Physical Therapist
- Vero Beach, FL
National Provider Identifier
1154534949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 20032
- Practice address
- 1155 35TH LN
Vero Beach, FL 32960-6521 - Phone
- (772) 569-2330
- NPI assigned
- May 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 20032 | FL | Primary |
Addresses
Primary practice location
1155 35TH LN
Vero Beach, FL 32960-6521
Mailing address
1155 35TH LN
Suite 100
Vero Beach, FL 32960-6521
Phone (772) 569-2330
Other names 1
- Melissa Johnson McKinniss
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 20032 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vero Orthopaedics II PA | Past | Accepting new patients | |
| Vero Orthopaedics II PA | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Orthopaedic Surgery Physician
- Sebastian, FL
- NPI 1134441660
-
- Neuromusculoskeletal Medicine & OMM Physician
- Vero Beach, FL
- NPI 1184626079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357084800000",
"number": "1154534949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 35TH LN",
"address_2": "SUITE 100",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329606521",
"telephone_number": "772-569-2330",
"fax_number": "772-569-2630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 35TH LN",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329606521",
"telephone_number": "772-569-2330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MELISSA",
"middle_name": "ERIN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2013-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 20032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "MCKINNISS",
"middle_name": "JOHNSON",
"credential": "P.T.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.