Active NPI
Melissa Michelle McIntyre, DPT
- Physical Therapist
- SLC, UT
National Provider Identifier
1659816072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9829785-2401
- Practice address
- 15 N 2030 E RM 2270a
SLC, UT 84112-5339 - Phone
- (801) 585-0893
- NPI assigned
- Dec 20, 2016
- 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 Therapist | 225100000X | 9829785-2401 | UT | Primary |
Addresses
Primary practice location
15 N 2030 E RM 2270a
SLC, UT 84112-5339
Mailing address
15 N 2030 E RM 2270a
SLC, UT 84112-5339
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482192000000",
"number": "1659816072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 N 2030 E RM 2270A",
"city": "SLC",
"state": "UT",
"postal_code": "841125339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 N 2030 E RM 2270A",
"city": "SLC",
"state": "UT",
"postal_code": "841125339",
"telephone_number": "801-585-0893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTYRE",
"first_name": "MELISSA",
"middle_name": "MICHELLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-20",
"last_updated": "2016-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "9829785-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in SLC, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.