Individual provider Active NPI

Melissa Miksits, DPT

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1215703400
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05035601 Issued in NY
Practice address
401 Hawthorne LN Ste 101-319
Charlotte, NC 28204-2484
Phone
(516) 417-7362
NPI assigned
Nov 29, 2023
Last updated
Feb 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P22663 NC
Physical Therapist 225100000X 14463 CT
Physical Therapist 225100000X 05035601 NY Primary

Addresses

Primary practice location

401 Hawthorne LN Ste 101-319
Charlotte, NC 28204-2484

Mailing address

2697 Bedell St
Bellmore, NY 11710-4647

Other practice location 1

2697 Bedell St
Bellmore, NY 11710-4647
Phone (516) 417-7362

Other practice location 2

6 Miles Ave
Windsor, CT 06095-2220
Phone (516) 417-7362

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14463CTMDPhysical Therapist
P22663NCMDPhysical Therapist
05035601NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1215703400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2697 BEDELL ST",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117104647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HAWTHORNE LN STE 101-319",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042484",
            "telephone_number": "516-417-7362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2697 Bedell St",
            "address_purpose": "LOCATION",
            "city": "Bellmore",
            "state": "NY",
            "postal_code": "117104647",
            "country_code": "US",
            "telephone_number": "516-417-7362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Miles Ave",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "CT",
            "postal_code": "060952220",
            "country_code": "US",
            "telephone_number": "516-417-7362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKSITS",
        "first_name": "MELISSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22663",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "14463",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "05035601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.