Melissa Tackett, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

3321 Del Prado Blvd S Ste 3
Cape Coral, FL 33904-7263

Phone

(239) 230-2490

Fax

(239) 984-8859

NPI assigned

Jan 22, 2020

Last updated

Jan 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Personal Touch Therapy and Wellness

  • Physical Therapist
  • Cape Coral, FL
  • NPI 1538828389
  NPD

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1740810431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 DEL PRADO BLVD S STE 3",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047263",
            "telephone_number": "239-230-2490",
            "fax_number": "239-984-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 DEL PRADO BLVD S STE 3",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047263",
            "telephone_number": "239-230-2490",
            "fax_number": "239-984-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACKETT",
        "first_name": "MELISSA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT23482",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "healthfusion",
            "affiliation": "N",
            "endpointDescription": "direct messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "optimuspt",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3321 Del Prado Blvd S Ste 3",
            "city": "Cape Coral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339047263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapist in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.