Active NPI
Melissa Christine Hewitt, PTA, NMT
- Physical Therapy Assistant
- Neenah, WI
National Provider Identifier
1629448550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2350-19
- Practice address
- 1119 Higgins Ave
Neenah, WI 54956 - Phone
- (920) 410-7837
- NPI assigned
- Oct 5, 2015
- 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 Therapy Assistant | 225200000X | 2350-19 | WI | Primary |
Addresses
Primary practice location
1119 Higgins Ave
Neenah, WI 54956
Mailing address
1982 Susan Ave
Neenah, WI 54956-1557
Phone (920) 410-7837
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2350-19 | WI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528588800000",
"number": "1629448550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1982 SUSAN AVE",
"city": "NEENAH",
"state": "WI",
"postal_code": "549561557",
"telephone_number": "920-410-7837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 HIGGINS AVE",
"city": "NEENAH",
"state": "WI",
"postal_code": "54956",
"telephone_number": "920-410-7837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEWITT",
"first_name": "MELISSA",
"middle_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "PTA, NMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-05",
"last_updated": "2018-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": "2350-19",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Neenah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.