Melissa Authier Mercogliano, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00003857 Issued in WA

Practice address

463 Tremont St West
Suite 100
Port Orchard, WA 98366-3521

Phone

(360) 874-0745

Fax

(360) 874-0846

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1194861088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 TREMONT ST WEST",
            "address_2": "SUITE 100",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663521",
            "telephone_number": "360-874-0745",
            "fax_number": "360-874-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 TREMONT ST WEST",
            "address_2": "SUITE 100",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663521",
            "telephone_number": "360-874-0745",
            "fax_number": "360-874-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCOGLIANO",
        "first_name": "MELISSA",
        "middle_name": "AUTHIER",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5214359",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "5414ME",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L&I",
            "identifier": "137035",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medworx LLC
• Medworx LLC
• Jade Amaya Mefi
• Melany K. Bloomquist, DDS, PS
• Melissa Mercogliano, PT, PS
• Hannah Merley, MSW, LSWAIC
• Douglas James Merrifield, MS, ATC
• Monica Joy Messer
• Nicholas John Metz
• Melissa Ayn Meyer, M.D.

• Physical Therapist in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.