Individual provider Active NPI

Melissa Anderson Reed, PT, DPT

  • Physical Therapist
  • Crestwood, KY
National Provider Identifier
1477801702
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007792 Issued in KY
Practice address
6003 Pleasant Colony CT
Crestwood, KY 40014-8678
Phone
(502) 241-5597
Fax
(502) 241-6499
NPI assigned
Aug 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT010768 GA
Physical Therapist 225100000X 007792 KY Primary

Addresses

Primary practice location

6003 Pleasant Colony CT
Crestwood, KY 40014-8678

Mailing address

6003 Pleasant Colony CT
Crestwood, KY 40014-8678
Phone (502) 241-5597

Other practice location 1

1810 White Cir
Suite 120
Marietta, GA 30066-5835
Phone (770) 426-9945

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191213001592 KY Practitioner - Physical Therapist in Private Practice 6800141755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, 339 clinicians

Practice addresses (Care Compare)

6003 Pleasant Colony CT
Suite 3
Crestwood, KY 40014-8679
Phone (502) 241-5597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT010768GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SN Kentuckiana Rehab, LLC Physical Therapist Current Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Oct 7, 2019 Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Oct 7, 2019 Accepting new patients

Locations

6003 Pleasant Colony Ct
Ste 3
Crestwood, KY 40014
Phone (502) 241-5597

210 E Gray St
Ste 807
Louisville, KY 40202
Phone (502) 587-9350

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1477801702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6003 PLEASANT COLONY CT",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400148678",
            "telephone_number": "502-241-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6003 PLEASANT COLONY CT",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400148678",
            "telephone_number": "502-241-5597",
            "fax_number": "502-241-6499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810 White Cir",
            "address_2": "Suite 120",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300665835",
            "country_code": "US",
            "telephone_number": "770-426-9945",
            "fax_number": "770-426-0641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "MELISSA",
        "middle_name": "ANDERSON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010768",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestwood, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.