Individual provider Active NPI

Melissa S Nassaney, D.P.T.

  • Physical Therapist
  • Warwick, RI
National Provider Identifier
1457496093
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT01896 Issued in RI
Practice address
469 Centerville Rd Ste 101
Warwick, RI 02886-4355
Phone
(401) 320-7101
Fax
(401) 320-7208
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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 PT01896 RI Primary

Addresses

Primary practice location

469 Centerville Rd Ste 101
Warwick, RI 02886-4355

Mailing address

23 Sunset Dr
West Kingston, RI 02892-1079
Phone (401) 265-6686

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050413000827 RI Practitioner - Physical Therapist in Private Practice 7810934635 Reassigns benefits to 1 organization
Practice locations: West Warwick, RI

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

469 Centerville Rd
Suite 101
Warwick, RI 02886-4355
Phone (401) 320-7101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pelvic Health & Wellness LLC Physical Therapist CurrentSince May 1, 2021 Accepting new patients

Locations

469 Centerville Rd
Ste 101
Warwick, RI 02886
Phone (401) 320-7101

207 Quaker Ln
Ste 201
West Warwick, RI 02893
Phone (401) 320-7101

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1457496093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SUNSET DR",
            "city": "WEST KINGSTON",
            "state": "RI",
            "postal_code": "028921079",
            "telephone_number": "401-265-6686",
            "fax_number": "401-320-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 CENTERVILLE RD STE 101",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864355",
            "telephone_number": "401-320-7101",
            "fax_number": "401-320-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSANEY",
        "first_name": "MELISSA",
        "middle_name": "S",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT01896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.