Melissa Marie Nastasi, PT, DPT
Individual provider Active NPI Physical Therapist · Stillwater, NY
NPI 1386086908 · NPPES record last updated Jul 24, 2013
Key facts
- NPI
- 1386086908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 24544 (MD)
- Practice address
- 1046 Hudson Ave
Apt. a
Stillwater, NY 12170-3432 - Phone
- (518) 588-7797
- NPI assigned
- Jul 24, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- California Luna Care Physical Therapy PC
Practice addresses (Care Compare)
16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220627001602 | CA | Practitioner - Physical Therapist in Private Practice | 9234544289 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41749 | CA | MD | Pharmacist |
| 24544 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group, Inc | Current |
Accepting new patients | |
| Permanente Medical Group Inc | Current |
Accepting new patients | |
| Pleasanton Physical Therapy Services, Inc. | Physical Therapist | Current |
Accepting new patients |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| California Luna Care Physical Therapy PC | Physical Therapist | Current |
Accepting new patients |
Locations
4501 Sand Creek Rd
Antioch, CA 94531
Phone (925) 813-6420
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
501 J St
Sacramento, CA 95814
Phone (916) 497-3000
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
301 Lennon Ln
Ste 202
Walnut Creek, CA 94598
Phone (925) 934-6373
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 24544 | MD | Yes |
Addresses
Primary practice location
1046 Hudson Ave
Apt. a
Stillwater, NY 12170-3432
Mailing address
1046 Hudson Ave
Apt. a
Stillwater, NY 12170-3432
Phone (518) 588-7797
Other providers in Stillwater, NY
- Deanna Longwell Sargent
- Maha Ghorayeb NP in Family Health, PLLC
- Meliora Family Medicine PLLC
- Carl Miller
- Madison Shea Moskowitz
- Luke Nightingale
- Patenaude Chiropractic LLP
- Brady William Patenaude
- Kelli Leigh Patenaude
- Taryn Kaye Putney
All providers in Stillwater, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.