Individual provider Active NPI

Melissa N Smith, DPT

  • Physical Therapist
  • Plymouth Meeting, PA
National Provider Identifier
1750566212
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017291 Issued in PA
Practice address
2250 Hickory Rd Ste 240
Plymouth Meeting, PA 19462-2225
Phone
(610) 834-1122
NPI assigned
Jan 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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 PT017291 PA Primary

Addresses

Primary practice location

2250 Hickory Rd Ste 240
Plymouth Meeting, PA 19462-2225

Mailing address

29 E Gorgas LN
Philadelphia, PA 19119-2128
Phone (215) 313-4155

Other practice location 1

2000 Hamilton St Ste 211
Philadelphia, PA 19130-3814
Phone (215) 383-0220

Other practice location 2

1600 Bethlehem Pike
Flourtown, PA 19031-2026
Phone (215) 233-9677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080312000610 PA Practitioner - Physical Therapist in Private Practice 8729163944 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Age Well Physical TherapyGroup PAC ID 4789967647, 7 clinicians

Practice addresses (Care Compare)

1956 Limekiln Pike
Dresher, PA 19025-1917
Phone (215) 313-4155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wallace & Nilan Physical Therapy and Fitness, LLC Physical Therapist CurrentSince Dec 18, 2023 Accepting new patients
Age Well Physical Therapy Physical Therapist CurrentSince Jul 1, 2016 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Dec 18, 2023 Accepting new patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Dec 18, 2023 Accepting new patients
House Call Medical Services, P.C. PastSince Aug 22, 2016 Accepting new patients
Bright Life Therapy Inc. PastSince Jun 1, 2011 Accepting new patients
House Call Group, PC Past Accepting new patients

Locations

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

1600 Bethlehem Pike
Flourtown, PA 19031
Phone (215) 233-9677

2000 Hamilton St
Ste 211
Philadelphia, PA 19130
Phone (215) 383-0220

Organizations & group practices 7

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": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1750566212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 E GORGAS LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192128",
            "telephone_number": "215-313-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 HICKORY RD STE 240",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622225",
            "telephone_number": "610-834-1122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Hamilton St Ste 211",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191303814",
            "country_code": "US",
            "telephone_number": "215-383-0220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Bethlehem Pike",
            "address_purpose": "LOCATION",
            "city": "Flourtown",
            "state": "PA",
            "postal_code": "190312026",
            "country_code": "US",
            "telephone_number": "215-233-9677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MELISSA",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT017291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.