Melissa Moore Anderson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT005690L Issued in PA

Practice address

115 S Saint Johns Dr
Camp Hill, PA 17011-4147

Phone

(717) 761-4754

Fax

(717) 370-6315

NPI assigned

Mar 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Therapy and Counseling Services

  • Occupational Therapist
  • Camp Hill, PA
  • NPI 1588213037

  Physical Therapist

  NPD

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1366574949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 SUMMERFIELD DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170555196",
            "telephone_number": "717-574-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S SAINT JOHNS DR",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114147",
            "telephone_number": "717-761-4754",
            "fax_number": "717-370-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MELISSA",
        "middle_name": "MOORE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT005690L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "000528211",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019275810001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1037051190001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Hushmail.com",
            "affiliation": "N",
            "endpointDescription": "endpoint encryption",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PGP encrypted email",
            "address_1": "115 S Saint Johns Dr",
            "city": "Camp Hill",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170114147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "patcs.com",
            "affiliation": "N",
            "endpointDescription": "PGP encrypted email",
            "address_1": "115 S Saint Johns Dr",
            "city": "Camp Hill",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170114147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy Miceli DPM LLC
• And Yet; Counseling, LLC
• Elizabeth Joan Anderson, M.D.
• Leia Anderson, ND
• Maureen Anderson
• Michele Anderson, MD
• Elizabeth Anne Andrews, RN
• Janiece Christine Andrews, M.D.
• Joseph Mario Andrie, M.D.
• Brayden Parker Andrus, PA-C

• Physical Therapist in Camp Hill, PA
• Providers in Camp Hill, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.