Active NPI
Melissa G Stebbins, DPT
- Physical Therapist
- Lowell, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501302182
- Practice address
- 1335 W. Main St
Suite B
Lowell, MI 49331 - Phone
- (616) 888-3184
- Fax
- (978) 263-0014
- NPI assigned
- Sep 9, 2008
- Last updated
- Nov 9, 2022
- 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 | 5501302182 | MI | Primary |
Addresses
Primary practice location
1335 W. Main St
Suite B
Lowell, MI 49331
Mailing address
PO Box 30516
Dept 5300
Lansing, MI 48909
Phone (978) 263-0007
Other practice location 1
54 Middlesex Tpke Ste 202
Burlington, MA 01803-4908
Phone (781) 323-4113
Other practice location 2
191 Hartwell Rd
Bedford, MA 01730-2425
Phone (781) 275-4111
Other names 1
- Melissa L Gershenson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1335 W Main St
Suite B
Lowell, MI 49331-1555
Phone (616) 888-3184
2120 43Rd St SE
Suite 100
Grand Rapids, MI 49508-3712
Phone (616) 281-1144
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hulst Jepsen Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Achieve Physical Therapy, PC | Physical Therapist | Past | Accepting new patients |
Locations
2120 43rd St SE
Ste 100
Grand Rapids, MI 49508
Phone (616) 281-1144
1335 W Main St
Ste B
Lowell, MI 49331
Phone (616) 888-3184
Organizations & group practices 2
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.
-
- Physical Therapist
- Grand Rapids, MI
- NPI 1609957760
-
- Physical Therapist
- Syracuse, NY
- NPI 1790778983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667952000000",
"number": "1538317060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30516",
"address_2": "DEPT 5300",
"city": "LANSING",
"state": "MI",
"postal_code": "48909",
"telephone_number": "978-263-0007",
"fax_number": "978-263-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 W. MAIN ST",
"address_2": "SUITE B",
"city": "LOWELL",
"state": "MI",
"postal_code": "49331",
"telephone_number": "616-888-3184",
"fax_number": "978-263-0014"
}
],
"practiceLocations": [
{
"address_1": "54 Middlesex Tpke Ste 202",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "MA",
"postal_code": "018034908",
"country_code": "US",
"telephone_number": "781-323-4113",
"fax_number": "781-961-1291",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "191 Hartwell Rd",
"address_purpose": "LOCATION",
"city": "Bedford",
"state": "MA",
"postal_code": "017302425",
"country_code": "US",
"telephone_number": "781-275-4111",
"fax_number": "781-275-0884",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEBBINS",
"first_name": "MELISSA",
"middle_name": "G",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-09",
"last_updated": "2022-11-09",
"certification_date": "2022-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501302182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "GERSHENSON",
"middle_name": "L",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lowell, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.