Individual provider Active NPI

Melissa Shea Harville, LPTA

  • Physical Therapy Assistant
  • Montgomery, AL
National Provider Identifier
1407472160
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA8464 Issued in AL
Practice address
520 S Hull St
Montgomery, AL 36104-4610
Phone
(334) 834-2920
NPI assigned
Jun 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 PTA8464 AL Primary

Addresses

Primary practice location

520 S Hull St
Montgomery, AL 36104-4610

Mailing address

27 Gibson Farm LN
Ramer, AL 36069-6540
Phone (334) 850-4140

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://capitolhillhealthcare.com/ Capitol Hill Healthcare Center, Inc

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
PTA8464ALMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1407472160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 GIBSON FARM LN",
            "city": "RAMER",
            "state": "AL",
            "postal_code": "360696540",
            "telephone_number": "334-850-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S HULL ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361044610",
            "telephone_number": "334-834-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVILLE",
        "first_name": "MELISSA",
        "middle_name": "SHEA",
        "name_prefix": "Ms.",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AL",
            "license": "PTA8464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://capitolhillhealthcare.com/",
            "affiliation": "Y",
            "affiliationName": "Capitol Hill Healthcare Center, Inc",
            "address_1": "520 S Hull St",
            "city": "Montgomery",
            "state": "AL",
            "country_code": "US",
            "postal_code": "361044610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.