Active NPI
Melanie Denice Cobb, PT, DPT, CSCS
- Physical Therapist
- Alexandria, VA
National Provider Identifier
1295168359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305210080
- Practice address
- 5568 General Washington Dr Ste A203
Alexandria, VA 22312-2465 - Phone
- (703) 663-8864
- NPI assigned
- Aug 13, 2013
- 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 | 9776 | TN | |
| Physical Therapist | 225100000X | PT018258 | OH | |
| Physical Therapist | 225100000X | 2305210080 | VA | Primary |
Addresses
Primary practice location
5568 General Washington Dr Ste A203
Alexandria, VA 22312-2465
Mailing address
292 Shadow Moss Cir
Richmond Hill, GA 31324-7322
Phone (956) 573-6276
Other practice location 1
2485 Fort Campbell Blvd
Clarksville, TN 37042-7787
Phone (931) 241-4391
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT018258 | OH | MD | Physical Therapist |
| 9776 | TN | MD | Physical Therapist |
| 2305210080 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospect Homecare Agency | 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.
-
- Home Health Agency
- Fairfax, VA
- NPI 1730582107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564963200000",
"number": "1295168359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "292 SHADOW MOSS CIR",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313247322",
"telephone_number": "956-573-6276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5568 GENERAL WASHINGTON DR STE A203",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223122465",
"telephone_number": "703-663-8864"
}
],
"practiceLocations": [
{
"address_1": "2485 Fort Campbell Blvd",
"address_purpose": "LOCATION",
"city": "Clarksville",
"state": "TN",
"postal_code": "370427787",
"country_code": "US",
"telephone_number": "931-241-4391",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COBB",
"first_name": "MELANIE",
"middle_name": "DENICE",
"credential": "PT, DPT, CSCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-13",
"last_updated": "2019-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "9776",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT018258",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305210080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.