Individual provider Active NPI

Melissa G Stebbins, DPT

  • Physical Therapist
  • Lowell, MI
National Provider Identifier
1538317060
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501302182 Issued in MI
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221221002992 MI Practitioner - Physical Therapist in Private Practice 2466512389 Reassigns benefits to 1 organization

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
Hulst Jepsen Physical Therapy IncGroup PAC ID 8325033285, 132 clinicians

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

OrganizationSpecialtyStatusNew patients
Hulst Jepsen Physical Therapy Inc Physical Therapist CurrentSince Dec 13, 2022 Accepting new patients
Achieve Physical Therapy, PC Physical Therapist PastSince Sep 7, 2021 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.

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.

Verify at the official NPI Registry.