Active NPI
Melissa Marie Lyons, M.S.,P.T.
- Physical Therapist
- N Massapequa, NY
National Provider Identifier
1518025451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 021254
- Practice address
- 1061 N Broadway
N Massapequa, NY 11758-1802 - Phone
- (516) 454-6387
- Fax
- (516) 454-6303
- NPI assigned
- Dec 4, 2006
- Last updated
- Feb 18, 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 021254 | NY | Primary |
Addresses
Primary practice location
1061 N Broadway
N Massapequa, NY 11758-1802
Mailing address
1061 N Broadway
N Massapequa, NY 11758-1802
Phone (516) 454-6387
Other names 1
- Miss Melissa Marie Leite
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sherrie Glasser Physical Therapy/John Douglas Pta | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Metro Comprehensive Physical Therapy
- Specialist
- Nesconset, NY
- NPI 1205019403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203292800000",
"number": "1518025451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1061 N BROADWAY",
"city": "N MASSAPEQUA",
"state": "NY",
"postal_code": "117581802",
"telephone_number": "516-454-6387",
"fax_number": "516-454-6303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 N BROADWAY",
"city": "N MASSAPEQUA",
"state": "NY",
"postal_code": "117581802",
"telephone_number": "516-454-6387",
"fax_number": "516-454-6303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYONS",
"first_name": "MELISSA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "M.S.,P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2008-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "021254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "LEITE",
"middle_name": "MARIE",
"prefix": "MISS",
"credential": "M.S.,P.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in N Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.