Melissa Leanne Cussans, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

4627 Pasture LN
White Lake, MI 48383-1846

Phone

(810) 965-3201

NPI assigned

Apr 5, 2022

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": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1639810401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4627 PASTURE LN",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483831846",
            "telephone_number": "810-965-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4627 PASTURE LN",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483831846",
            "telephone_number": "810-965-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSSANS",
        "first_name": "MELISSA",
        "middle_name": "LEANNE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collaboration Station, LLC
• Jacob M Colleran, PHARMD
• Lana Ann Colwell
• Coremed Primary Care PLLC
• Tina L Cummings
• Thomas G Czarnecki, D.C.
• Amanda Daly
• David Leszkowitz DO PC
• David Leszkowitz DO PC
• Lori Davison, MA, LPC, NCC

• Physical Therapy Assistant in White Lake, MI
• Providers in White Lake, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.