Individual provider Active NPI

Melanie P Grafton, D.P.T.

  • Physical Therapist
  • Brandon, MS
National Provider Identifier
1225406457
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4508 Issued in MS
Practice address
115 Village SQ
Suite K
Brandon, MS 39047-6059
Phone
(601) 398-3171
NPI assigned
Sep 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT4508 MS Primary

Addresses

Primary practice location

115 Village SQ
Suite K
Brandon, MS 39047-6059

Mailing address

111 Lakepointe Dr
Madison, MS 39110-9203

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
PT4508MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Myofascial Release & Rehab, Inc. Physical Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1225406457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 LAKEPOINTE DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391109203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 VILLAGE SQ",
            "address_2": "SUITE K",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390476059",
            "telephone_number": "601-398-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAFTON",
        "first_name": "MELANIE",
        "middle_name": "P",
        "name_prefix": "Miss",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT4508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.