Active NPI
Melissa Kay Ault, PTA
- Physical Therapy Assistant
- Rochester, PA
National Provider Identifier
1639877467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- TEI002211
- Practice address
- 174 Virginia Ave
Rochester, PA 15074-1785 - Phone
- (724) 775-6400
- NPI assigned
- Feb 21, 2023
- Last updated
- Feb 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | TEI002211 | PA | Primary |
Addresses
Primary practice location
174 Virginia Ave
Rochester, PA 15074-1785
Mailing address
5770 N Edinburg Rd
Edinburg, PA 16116-3804
Phone (724) 651-0440
Other names 1
- Melissa Kay Daley
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 |
|---|---|---|---|
| TEI002211 | PA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676937600000",
"number": "1639877467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5770 N EDINBURG RD",
"city": "EDINBURG",
"state": "PA",
"postal_code": "161163804",
"telephone_number": "724-651-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 VIRGINIA AVE",
"city": "ROCHESTER",
"state": "PA",
"postal_code": "150741785",
"telephone_number": "724-775-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AULT",
"first_name": "MELISSA",
"middle_name": "KAY",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-21",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TEI002211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "DALEY",
"middle_name": "KAY",
"credential": "PTA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rochester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.