Active NPI
Melissa Joy Simon
- Physical Therapist
- Novi, MI
National Provider Identifier
1750883104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 39450 W 12 Mile Rd
Novi, MI 48377-3600 - Phone
- (248) 344-2300
- NPI assigned
- Mar 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
39450 W 12 Mile Rd
Novi, MI 48377-3600
Mailing address
10272 Creekwood Cir
Plymouth, MI 48170-3826
Phone (734) 788-8133
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | msimon14763@direct.hfhs.org |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1750883104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10272 CREEKWOOD CIR",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481703826",
"telephone_number": "734-788-8133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39450 W 12 MILE RD",
"city": "NOVI",
"state": "MI",
"postal_code": "483773600",
"telephone_number": "248-344-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "MELISSA",
"middle_name": "JOY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-01",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "msimon14763@direct.hfhs.org",
"affiliation": "N",
"address_1": "39450 W 12 Mile Rd",
"city": "Novi",
"state": "MI",
"country_code": "US",
"postal_code": "483773600",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.