Melissa Connor
Individual provider Active NPI Physical Therapist · Reading, MA
NPI 1154720753 · NPPES record last updated Aug 19, 2014
Key facts
- NPI
- 1154720753
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11080 (MA)
- Practice address
- 11 Baker Rd
Reading, MA 01867-1813 - Phone
- (617) 306-5652
- NPI assigned
- Aug 19, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11080 | MA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11080 | MA | Yes |
Addresses
Primary practice location
11 Baker Rd
Reading, MA 01867-1813
Mailing address
11 Baker Rd
Reading, MA 01867-1813
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11080 | Other | MA | MA PHYSICAL THERAPY LICENSE |
Other providers in Reading, MA
- Michael Bruce Cohen
- Linda Frances Collamore
- Jeffrey Joseph Colucci
- Compassion Thru Caring Wellness and Health
- Brendan R Connor
- Carl Conui
- Andrew Cook
- Kayla Cook
- Jennifer M Corwin
- Paul Costa
All providers in Reading, MA · Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.