Melissa Ann Lafollette, PT MT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT.009877 Issued in OH

Practice address

4440 Glen Este Withamsville Rd
Cincinnati, OH 45245-1318

Phone

(513) 943-3630

Fax

(513) 753-4308

NPI assigned

Aug 4, 2005

Last updated

May 13, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Ms. Melissa Ann Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Medical Technician

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cincinnati Physical Therapy Inc

  • Physical Therapist
  • Cincinnati, OH
  • NPI 1053312751
  NPD (past)
• Orthopaedic Consultants of Cincinnati, Inc.

  dba Wellington Orthopaedic & Sports Medicine

  • Orthopaedic Surgery Physician
  • Cincinnati, OH
  • NPI 1396792529
  NPD (past)

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1306847959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 CREEK RD",
            "address_2": "SUITE 110",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452428398",
            "telephone_number": "513-733-9333",
            "fax_number": "513-588-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 GLEN ESTE WITHAMSVILLE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451318",
            "telephone_number": "513-943-3630",
            "fax_number": "513-753-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFOLLETTE",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PT MT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-04",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.009877",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.013454",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2693036",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0815452",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "JOHNSON",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "PT MT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tannor Lacy
• Lady in Red Mobile Phlebotomy Services LLC (Quality Labs and Logistics Services LLC)
• Lady Like Care
• Deawodi Abla Ladzekpo, MD
• Erin R Laffrey, LISW-S
• Ryan Lafollette, M.D.
• Jacob D Laframboise, MAED, BCBA
• Kelly Lafrankie
• Alyssa Lafrenierre, PA-C
• Katherine M Lage-Michael

• Physical Therapist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.