Active NPI
Melissa Miksits, DPT
- Physical Therapist
- Charlotte, NC
National Provider Identifier
1215703400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05035601
- 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, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 14463 | CT | MD | Physical Therapist |
| P22663 | NC | MD | Physical Therapist |
| 05035601 | NY | MD | Physical 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.