Active NPI
Melissa K Aho, MSPT
- Pediatric Physical Therapist
- Menasha, WI
National Provider Identifier
1508909789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 10018-024
- Practice address
- 1800 Appleton Rd
Menasha, WI 54952-3727 - Phone
- (920) 968-6234
- Fax
- (920) 725-2572
- NPI assigned
- Feb 15, 2007
- Last updated
- Dec 5, 2008
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 10018-024 | WI | Primary |
Addresses
Primary practice location
1800 Appleton Rd
Menasha, WI 54952-3727
Mailing address
1707 S Nicolet Rd Apt 2
Appleton, WI 54914-7542
Phone (920) 730-9197
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10018-024 | WI | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228435200000",
"number": "1508909789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 S NICOLET RD APT 2",
"city": "APPLETON",
"state": "WI",
"postal_code": "549147542",
"telephone_number": "920-730-9197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 APPLETON RD",
"city": "MENASHA",
"state": "WI",
"postal_code": "549523727",
"telephone_number": "920-968-6234",
"fax_number": "920-725-2572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHO",
"first_name": "MELISSA",
"middle_name": "K",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2008-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "WI",
"license": "10018-024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menasha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.