Melissa Tillman Holyfield, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6850 Issued in TN

Practice address

1700 Woodlawn Ave
Dyersburg, TN 38024-2028

Phone

(731) 286-1115

Fax

(731) 286-0998

NPI assigned

Jun 6, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Therapy & Learning Center Inc

  • Clinic/Center
  • Jackson, TN
  • NPI 1780395830

  TN

  Medicare reassignment NPD
• TN Therapy Outsource, LLC

  • Physical Therapist
  • Jackson, TN
  • NPI 1891285185
  Medicare reassignment NPD
• Physical Therapy of Jackson PC.

  • Physical Therapy Clinic/Center
  • Jackson, TN
  • NPI 1841247418
  NPD (past)
• Therapy & Learning Center Inc

  • Rehabilitation Clinic/Center
  • Jackson, TN
  • NPI 1013037159
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247788800000",
    "number": "1730128323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 HIGHWAY 45 BYP",
            "address_2": "SUITE 604",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383054436",
            "telephone_number": "731-660-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WOODLAWN AVE",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242028",
            "telephone_number": "731-286-1115",
            "fax_number": "731-286-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLYFIELD",
        "first_name": "MELISSA",
        "middle_name": "TILLMAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2009-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "6850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric C Hill, CRNA
• Angela M Hinson, PHARM D
• Rita Lynn Hollingsworth, APRN
• Brenda D. Hollis, MSN,FNP
• Mary Jeanne Holt, DC
• Home Medical Products, Inc.
• Hometown Urgent Care of Dyersburg PLLC
• Halle Hopgood
• Melissa Ann Hopper
• James Horner, DDS

• All providers in Dyersburg, TN
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.