Active NPI
Mellisa Marie Holland
- Physical Therapist
- Merrimack, NH
National Provider Identifier
1487790499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3200
- Practice address
- 297 Daniel Webster Hwy
Suite 2
Merrimack, NH 03054-4451 - Phone
- (603) 262-3305
- Fax
- (603) 262-3306
- NPI assigned
- Jan 29, 2007
- 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 | 3200 | NH | Primary |
Addresses
Primary practice location
297 Daniel Webster Hwy
Suite 2
Merrimack, NH 03054-4451
Mailing address
73 Newton Rd
Ste 101
Plaistow, NH 03865-2424
Phone (978) 388-7272
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7819287 | Other | CIGNA GROUP # | |
| AA 11345 | Other | HARVARD PILGRIM GROUP # | |
| 08Y011430NH01 | Other | NH | ANTHEM INDIV. # |
Other names 1
- Mellisa Marie Cognata
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 |
|---|---|---|---|
| 3200 | NH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435190400000",
"number": "1487790499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 NEWTON RD",
"address_2": "STE 101",
"city": "PLAISTOW",
"state": "NH",
"postal_code": "038652424",
"telephone_number": "978-388-7272",
"fax_number": "978-388-7373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "297 DANIEL WEBSTER HWY",
"address_2": "SUITE 2",
"city": "MERRIMACK",
"state": "NH",
"postal_code": "030544451",
"telephone_number": "603-262-3305",
"fax_number": "603-262-3306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "MELLISA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2015-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "3200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA GROUP #",
"identifier": "7819287",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM GROUP #",
"identifier": "AA 11345",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM INDIV. #",
"identifier": "08Y011430NH01",
"state": "NH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELLISA",
"last_name": "COGNATA",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Merrimack, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.