Melisa Layne Stout-Herring, PT ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1394 Issued in OK

Practice address

3333 W Hefner Rd
Ste a
Oklahoma City, OK 73120

Phone

(405) 751-9955

Fax

(405) 751-9988

NPI assigned

Dec 23, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Specialized Physical Therapy PC

  • Physical Therapist
  • Oklahoma City, OK
  • NPI 1699747972
  Medicare reassignment NPD Authorized official
• Cornelson Physical Therapy

  • Physical Therapist
  • Oklahoma City, OK
  • NPI 1831716968
  NPD

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1376520007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 NW 120TH CT",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731621729",
            "telephone_number": "405-781-9955",
            "fax_number": "405-751-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W HEFNER RD",
            "address_2": "STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73120",
            "telephone_number": "405-751-9955",
            "fax_number": "405-751-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT-HERRING",
        "first_name": "MELISA",
        "middle_name": "LAYNE",
        "credential": "PT ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-23",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "PT1394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100834080A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "611494900",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00253426",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Elizabeth Story
• Jennifer Diane Story, BS
• Sethe Story
• Shandy Rae Gosnell Stotler, APRN-CNP, DNP
• Rebecca Goen Stough, MD
• Billy Herman Stout, MD
• Jessica Leigh Stout, MD
• Jessica Mae Stout, BCBA, LBA
• Kristin Stout, COTA/L
• Savanna Kyle Stout

• Physical Therapist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.