Active NPI
Melanie Marie Gibbs, LPTA
- Physical Therapy Assistant
- Maumee, OH
National Provider Identifier
1447599816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA.03716
- Practice address
- 3231 Manley Rd
Maumee, OH 43537-9680 - Phone
- (419) 865-1248
- NPI assigned
- Feb 5, 2013
- Last updated
- Feb 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA.03716 | OH | Primary |
Addresses
Primary practice location
3231 Manley Rd
Maumee, OH 43537-9680
Mailing address
22038 Kellogg Rd
Grand Rapids, OH 43522-9718
Phone (567) 204-3313
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA.03716 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360022400000",
"number": "1447599816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22038 KELLOGG RD",
"city": "GRAND RAPIDS",
"state": "OH",
"postal_code": "435229718",
"telephone_number": "567-204-3313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3231 MANLEY RD",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435379680",
"telephone_number": "419-865-1248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "MELANIE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LPTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-05",
"last_updated": "2013-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "PTA.03716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maumee, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.