Melissa Lara Prag, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT02125 Issued in RI

Practice address

545 Pawtucket Ave
Pawtucket, RI 02860-6046

Phone

(401) 475-5775

Fax

(781) 828-7951

NPI assigned

May 3, 2006

Last updated

Sep 29, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Melissa Lara Portnoy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Silver Fern Practice, LLC

  dba Highbar

  • Physical Therapist
  • Pawtucket, RI
  • NPI 1003972084
  NPD (past)
• Excella Healthcare, Inc.

  dba Encompass Home Health of New England

  • Physical Therapist
  • Andover, MA
  • NPI 1033177720
  NPD (past)
• Physical Therapy Health Services, Inc

  dba Physical Therapy Health Connection

  • Physical Therapist
  • Canton, MA
  • NPI 1134106446
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222646400000",
    "number": "1730147349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 PAWTUCKET AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028606046",
            "telephone_number": "401-475-5775",
            "fax_number": "781-828-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 PAWTUCKET AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028606046",
            "telephone_number": "401-475-5775",
            "fax_number": "781-828-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAG",
        "first_name": "MELISSA",
        "middle_name": "LARA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT02125",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "9543",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "PORTNOY",
            "middle_name": "LARA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brittney E Pomeranz, LICSW
• Corissa Ann Pond, NP-C
• Delaney Giacometti Portes, LICSW
• Jessie Powell
• Powers Family Health
• Shakuntala Prasad, MD
• Johnna A Pratt, LICSW
• Margaret Spinney Pratt, MSC. CCC-A
• Preferred Care Haven LLC
• Rovena Prekulaj, MSPT

• Physical Therapist in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.