Individual provider Active NPI

Melanie Buchanan Sherrod, PT

  • Physical Therapist
  • Crossville, TN
National Provider Identifier
1649519547
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0000006551 Issued in TN
Practice address
40 Dogwood Ave
Crossville, TN 38555-6400
Phone
(865) 394-0563
Fax
(865) 376-6059
NPI assigned
Feb 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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 PT0000006551 TN Primary

Addresses

Primary practice location

40 Dogwood Ave
Crossville, TN 38555-6400

Mailing address

508 Busbee Rd
Knoxville, TN 37920-4465
Phone (865) 394-0563

Other identifiers 2

IdentifierTypeStateIssuer
3645372MedicaidTN
3645373OtherTNMEDICARE PART B

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050603000763 TN Practitioner - Physical Therapist in Private Practice 3375586019 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT0000006551TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy.Works LLC Physical Therapist CurrentSince Oct 1, 2005 Accepting new patients

Locations

5801 S York Hwy
Clarkrange, TN 38553

40 Dogwood Ave
Crossville, TN 38555
Phone (865) 257-9845

5018 Wilder Rd
Grimsley, TN 38565

800 N York Hwy
Jamestown, TN 38556

218 School Ave
Jamestown, TN 38556

2665 Lawnville Rd
Kingston, TN 37763
Phone (865) 394-0563

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1649519547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 BUSBEE RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379204465",
            "telephone_number": "865-394-0563",
            "fax_number": "865-376-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 DOGWOOD AVE",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385556400",
            "telephone_number": "865-394-0563",
            "fax_number": "865-376-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERROD",
        "first_name": "MELANIE",
        "middle_name": "BUCHANAN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-12",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000006551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3645372",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART  B",
            "identifier": "3645373",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.