Individual provider Active NPI

Melanie Denice Cobb, PT, DPT, CSCS

  • Physical Therapist
  • Alexandria, VA
National Provider Identifier
1295168359
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305210080 Issued in VA
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

Updated by the provider on Aug 5, 2019

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 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

LicenseStateTypeSpecialty
PT018258OHMDPhysical Therapist
9776TNMDPhysical Therapist
2305210080VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Homecare Agency PastSince Jul 25, 2019 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": "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.

Verify at the official NPI Registry.