Individual provider Active NPI

Melissa K Aho, MSPT

  • Pediatric Physical Therapist
  • Menasha, WI
National Provider Identifier
1508909789
Registry record updated Dec 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
10018-024 Issued in WI
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, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
10018-024WIMDPediatric 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.

Verify at the official NPI Registry.