Individual provider Active NPI

Melissa Whaley, DPT

  • Physical Therapist
  • Clinton, NC
National Provider Identifier
1477146579
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1302 Sunset Avenue
Clinton, NC 28328-3824
Phone
(910) 490-1269
Fax
(910) 490-1317
NPI assigned
Feb 19, 2021
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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 Primary

Addresses

Primary practice location

1302 Sunset Avenue
Clinton, NC 28328-3824

Mailing address

1302 Sunset Avenue
Clinton, NC 28328-3824
Phone (910) 490-1269

Other names 1

  • Melissa Macon Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210309002105 NC Practitioner - Physical Therapist in Private Practice 3072929421 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Sampson LLCGroup PAC ID 9234597204, 2 clinicians

Practice addresses (Care Compare)

1302 Sunset Ave
Clinton, NC 28328-3824
Phone (910) 490-1269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Feb 17, 2021 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Feb 17, 2021 Accepting new patients
Thrive Sampson LLC Physical Therapist CurrentSince Apr 17, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1302 Sunset Ave
Clinton, NC 28328
Phone (910) 490-1269

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

5619 Carolina Beach Rd
Ste 120
Wilmington, NC 28412
Phone (910) 790-1976

Organizations & group practices 3

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": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1477146579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 SUNSET AVENUE",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283283824",
            "telephone_number": "910-490-1269",
            "fax_number": "910-490-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 SUNSET AVENUE",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283283824",
            "telephone_number": "910-490-1269",
            "fax_number": "910-490-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEY",
        "first_name": "MELISSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2024-11-20",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "MACON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clinton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.