Individual provider Active NPI

Melissa Z Reed, MSPT

  • Physical Therapist
  • Watertown, CT
National Provider Identifier
1407925654
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7637 Issued in CT
Practice address
27 Depot St
Watertown, CT 06795-2601
Phone
(860) 274-1487
Fax
(860) 274-9330
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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 7637 CT Primary

Addresses

Primary practice location

27 Depot St
Watertown, CT 06795-2601

Mailing address

47 N Main St
West Hartford, CT 06107-1926
Phone (860) 409-4595

Other identifiers 1

IdentifierTypeStateIssuer
080007637CT01OtherCTBCBS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240510000105 FL Practitioner - Physical Therapist in Private Practice 2860589983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Reed Fitness and Physical TherapyGroup PAC ID 3476994237, 3 clinicians

Practice addresses (Care Compare)

5602 Marina Dr
Holmes Beach, FL 34217-1552
Phone (203) 512-3749

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7637CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Reed Fitness and Physical Therapy Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Sacred Heart University, Inc Physical Therapist Past Accepting new patients
Physiotherapy Associates, Inc. Physical Therapist Past Accepting new patients

Locations

5602 Marina Dr
Holmes Beach, FL 34217
Phone (203) 512-3749

Organizations & group practices 4

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1407925654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 N MAIN ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071926",
            "telephone_number": "860-409-4595",
            "fax_number": "860-409-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 DEPOT ST",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952601",
            "telephone_number": "860-274-1487",
            "fax_number": "860-274-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "MELISSA",
        "middle_name": "Z",
        "name_prefix": "Miss",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "7637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "080007637CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.