Individual provider Active NPI

Melanie S Warren, P.T.

  • Physical Therapist
  • Flowood, MS
National Provider Identifier
1740285451
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1480 Issued in MS
Practice address
201 E Layfair Dr
Suite 125
Flowood, MS 39232-7604
Phone
(601) 420-6867
Fax
(601) 664-1006
NPI assigned
Jun 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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 PT1480 MS Primary

Addresses

Primary practice location

201 E Layfair Dr
Suite 125
Flowood, MS 39232-7604

Mailing address

201 E Layfair Dr
Suite 125
Flowood, MS 39232-7604
Phone (601) 420-6867

Other identifiers 2

IdentifierTypeStateIssuer
08935713MedicaidMS
650012643OtherMSMEDICARE RAILROAD

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

LicenseStateTypeSpecialty
PT1480MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Therapy Center Physical Therapist Past Accepting new patients
Key Therapy Services, LLC Physical Therapist PastSince Jul 2, 2012 Accepting new patients
Professional Therapy Services Inc Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1740285451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E LAYFAIR DR",
            "address_2": "SUITE 125",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327604",
            "telephone_number": "601-420-6867",
            "fax_number": "601-664-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E LAYFAIR DR",
            "address_2": "SUITE 125",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327604",
            "telephone_number": "601-420-6867",
            "fax_number": "601-664-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "MELANIE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT1480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08935713",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "650012643",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.