Active NPI
Melissa Brooke Whitman, PT, DPT
- Physical Therapist
- Lakeway, TX
National Provider Identifier
1336815257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1351731
- Practice address
- 100 Medical Pkwy
Lakeway, TX 78738-5621 - Phone
- (512) 654-5461
- NPI assigned
- Aug 19, 2021
- Last updated
- Aug 19, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1351731 | TX | Primary |
Addresses
Primary practice location
100 Medical Pkwy
Lakeway, TX 78738-5621
Mailing address
4700 W Guadalupe St Apt A104
Austin, TX 78751-3684
Phone (214) 728-5801
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1351731 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1336815257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 W GUADALUPE ST APT A104",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787513684",
"telephone_number": "214-728-5801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL PKWY",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "787385621",
"telephone_number": "512-654-5461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITMAN",
"first_name": "MELISSA",
"middle_name": "BROOKE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-19",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1351731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeway, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.