Active NPI
Melissa M Wilson, PT
- Physical Therapist
- Nicholasville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004373
- Practice address
- 610 E Brannon Rd Ste 200
Nicholasville, KY 40356-6046 - Phone
- (859) 260-5555
- Fax
- (859) 260-5556
- NPI assigned
- Jun 27, 2019
- Last updated
- Dec 1, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 004373 | KY | Primary |
Addresses
Primary practice location
610 E Brannon Rd Ste 200
Nicholasville, KY 40356-6046
Mailing address
PO Box 734839
Chicago, IL 60673-4839
Phone (502) 253-4900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mwilson9312@bhkydirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004373 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Physical Therapist | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients |
Locations
2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223
Phone (502) 253-4900
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
610 E Brannon Rd
Ste 200
Nicholasville, KY 40356
Phone (859) 260-5555
Organizations & group practices 2
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.
-
dba Dawson Springs Rural Health Clinic
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Urgent Care Clinic/Center
- Louisville, KY
- NPI 1508269200
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1760043921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 734839",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606734839",
"telephone_number": "502-253-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 E BRANNON RD STE 200",
"city": "NICHOLASVILLE",
"state": "KY",
"postal_code": "403566046",
"telephone_number": "859-260-5555",
"fax_number": "859-260-5556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "MELISSA",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-27",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "004373",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mwilson9312@bhkydirect.com",
"affiliation": "N",
"address_1": "610 E Brannon Rd Ste 200",
"city": "Nicholasville",
"state": "KY",
"country_code": "US",
"postal_code": "403566046",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Nicholasville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.