Individual provider Active NPI

Melissa Massingale

  • Physical Therapy Assistant
  • Marietta, GA
National Provider Identifier
1376156117
Registry record updated Aug 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA004162 Issued in GA
Practice address
965 Piedmont Rd NE Ste 200
Marietta, GA 30066-5493
Phone
(770) 575-2212
NPI assigned
Aug 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA004162 GA Primary

Addresses

Primary practice location

965 Piedmont Rd NE Ste 200
Marietta, GA 30066-5493

Mailing address

2011 Shadow Bluff CT NE
Marietta, GA 30062-2564
Phone (678) 516-1368

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melissa@firststepphysicaltherapy.com

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

LicenseStateTypeSpecialty
PTA004162GAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Leger Therapy Services Inc. CurrentSince Sep 5, 2023 Accepting new patients

Locations

965 Piedmont Rd NE
Ste 200
Marietta, GA 30066
Phone (770) 575-2212

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": "1598745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598745600000",
    "number": "1376156117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 SHADOW BLUFF CT NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622564",
            "telephone_number": "678-516-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 PIEDMONT RD NE STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300665493",
            "telephone_number": "770-575-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSINGALE",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-30",
        "last_updated": "2020-08-30",
        "certification_date": "2020-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA004162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissa@firststepphysicaltherapy.com",
            "affiliation": "N",
            "address_1": "965 Piedmont Rd NE Ste 200",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300665493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.