Nancy Lou Mellor, PHYSICAL THERAPY ASS

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

589-019 Issued in WI

Practice address

13197 Church St
Pigeon Falls, WI 54760

Phone

(715) 983-2293

NPI assigned

May 31, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457552820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 PIERCE ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546151525",
            "telephone_number": "715-284-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13197 CHURCH ST",
            "city": "PIGEON FALLS",
            "state": "WI",
            "postal_code": "54760",
            "telephone_number": "715-983-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLOR",
        "first_name": "NANCY",
        "middle_name": "LOU",
        "credential": "PHYSICAL THERAPY ASS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "589-019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Campbell, PTA
• Wayne A Christianson, DC
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• Chelsea Rae Moyer, MA
• James Steven Rajala, CCC SLP

• Physical Therapy Assistant in Pigeon Falls, WI
• Providers in Pigeon Falls, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.