Active NPI
Melissa B Wiesman, PT DPT
- Physical Therapist
- Cincinnati, OH
National Provider Identifier
1477960037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT014805
- Practice address
- 5400 Kennedy Ave
Cincinnati, OH 45213 - Phone
- (513) 618-7878
- Fax
- (513) 618-7888
- NPI assigned
- Jul 16, 2014
- Last updated
- Jul 16, 2014
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | PT014805 | OH | Primary |
Addresses
Primary practice location
5400 Kennedy Ave
Cincinnati, OH 45213
Mailing address
P.O. Box 9086
Cincinnati, OH 45213
Phone (513) 618-7878
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT014805 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405468800000",
"number": "1477960037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 9086",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45213",
"telephone_number": "513-618-7878",
"fax_number": "513-618-7888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 KENNEDY AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45213",
"telephone_number": "513-618-7878",
"fax_number": "513-618-7888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIESMAN",
"first_name": "MELISSA",
"middle_name": "B",
"credential": "PT DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-16",
"last_updated": "2014-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT014805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.