Individual provider Active NPI

Melissa Capron, PT, DPT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1245074665
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2418 Issued in NE
Practice address
5114 N 137TH St
Omaha, NE 68164-6191
Phone
(402) 819-7956
NPI assigned
Jun 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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 2418 NE Primary

Addresses

Primary practice location

5114 N 137TH St
Omaha, NE 68164-6191

Mailing address

7839 Kansas Ave
Omaha, NE 68134-2133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240725000319 NE Practitioner - Physical Therapist in Private Practice 6204372386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diversified Mobile PT LLCGroup PAC ID 0547607467, 9 clinicians

Practice addresses (Care Compare)

5114 N 137TH St
Omaha, NE 68164-6191
Phone (402) 819-7956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2418NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Diversified Mobile PT LLC Physical Therapist CurrentSince May 4, 2024 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": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1245074665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7839 KANSAS AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681342133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5114 N 137TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681646191",
            "telephone_number": "402-819-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPRON",
        "first_name": "MELISSA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.