Melissa M Peabody, P.T., CHT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00650800 Issued in NJ

Practice address

1608 Route 88 W
Suite 112
Brick, NJ 08724-3009

Phone

(732) 840-8100

Fax

(732) 840-0559

NPI assigned

Aug 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Melissa M Gursky Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Fox Rehabilitation Services Inc

  • Physical Therapist
  • Wilmington, DE
  • NPI 1326092503

  NJ

  Medicare reassignment NPD
• Brick Hand & Rehabilitative Services Limited Partnership

  • Physical Therapy Clinic/Center
  • Brick, NJ
  • NPI 1558386599
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1417060930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 ROUTE 88 W",
            "address_2": "SUITE 112",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243009",
            "telephone_number": "732-840-8100",
            "fax_number": "732-840-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 ROUTE 88 W",
            "address_2": "SUITE 112",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243009",
            "telephone_number": "732-840-8100",
            "fax_number": "732-840-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEABODY",
        "first_name": "MELISSA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "P.T., CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2004018750",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00650800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "GURSKY",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "P.T., CHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jayne Pavlak-Schenk, DO
• Swathi Pavuluri
• Tracy A Pawlukanis, RBT
• Oconer Payba
• Andrez Fernando Paz
• Theresa Peace, HOME CARE
• Peaceful Solutions NJ LLC
• Michael Joseph Pecoraro, M.D.
• Valentina Suzanna Pecoraro, MD
• Pediatric Care Physicians, LLC

• Physical Therapist in Brick, NJ
• Providers in Brick, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.