Melissa R. Sparks, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

14 Carefree LN
Pueblo, CO 81001-1712

Phone

(719) 696-9685

NPI assigned

Jun 7, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1568800860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CAREFREE LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011712",
            "telephone_number": "719-696-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CAREFREE LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011712",
            "telephone_number": "719-696-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "MELISSA",
        "middle_name": "R.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spanish Peaks New Alternatives, Inc. (Spanish Peaks New Alternatives Inc. SUD)
• Spanish Peaks New Alternatives, Inc. (Perry Hall PC)
• Lynda A Spann, PH.D.
• Sparks of Light Psychotherapy, PLLC
• Sparks Residential and Support Services, Inc
• Penny Sue Spearing, MA, LPC
• Specialized Inpatient Medical Services, LLC
• Spectrum of Light Family Services, LLC
• Spectrum of Light Home Care, LLC
• Spectrum of Light Home Care, LLC

• Physical Therapy Assistant in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.