Individual provider Active NPI

Melissa N Cornell, PT

  • Physical Therapist
  • Pittsford, NY
National Provider Identifier
1396019428
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
031585-1 Issued in NY
Practice address
141 Sullys TRL
Suite 9
Pittsford, NY 14534-4563
Phone
(585) 387-0430
Fax
(585) 387-0431
NPI assigned
Mar 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 031585-1 NY Primary

Addresses

Primary practice location

141 Sullys TRL
Suite 9
Pittsford, NY 14534-4563

Mailing address

141 Sullys TRL
Suite 9
Pittsford, NY 14534-4563
Phone (585) 387-0430

Other names 1

  • Melissa N Shiffer Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
031585-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352851200000",
    "number": "1396019428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 SULLYS TRL",
            "address_2": "SUITE 9",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344563",
            "telephone_number": "585-387-0430",
            "fax_number": "585-387-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 SULLYS TRL",
            "address_2": "SUITE 9",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344563",
            "telephone_number": "585-387-0430",
            "fax_number": "585-387-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELL",
        "first_name": "MELISSA",
        "middle_name": "N",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031585-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "SHIFFER",
            "middle_name": "N",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; 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.