Individual provider Active NPI

Michelle Allison Ghisoni Menashi, MSPT, DPT

  • Physical Therapist
  • Spokane Valley, WA
National Provider Identifier
1760634182
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00010124 Issued in WA
Practice address
15412 E Sprague Ave
Suite 8
Spokane Valley, WA 99037-8841
Phone
(509) 838-2531
NPI assigned
Oct 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305209575 VA
Physical Therapist 225100000X PTL17569 MA
Physical Therapist 225100000X PT00010124 WA Primary

Addresses

Primary practice location

15412 E Sprague Ave
Suite 8
Spokane Valley, WA 99037-8841

Mailing address

PO Box 3649
Spokane, WA 99220-3649
Phone (509) 838-2531

Other practice location 1

4421 Virginia Beach Blvd Ste 101
Virginia Beach, VA 23462-3114
Phone (757) 932-2390

Other practice location 2

4668 Pembroke Blvd Ste 115A
Virginia Beach, VA 23455-6423
Phone (757) 648-8562

Other names 1

  • Michelle Allison Ghisoni Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
17589MAMDPharmacist
PTL17569MAMDPhysical Therapist
2305209575VAMDPhysical Therapist
PT00010124WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Rockwood Clinic PS Past Accepting new patients
Rockwood Clinic Physical Therapist Past Accepting new patients

Locations

2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000

4668 Pembroke Blvd
Ste 115
Virginia Beach, VA 23455
Phone (757) 648-8562

4421 Virginia Beach Blvd
Ste 101
Virginia Beach, VA 23462
Phone (757) 932-2390

Organizations & group practices 4

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": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1760634182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3649",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992203649",
            "telephone_number": "509-838-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15412 E SPRAGUE AVE",
            "address_2": "SUITE 8",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990378841",
            "telephone_number": "509-838-2531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4421 Virginia Beach Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234623114",
            "country_code": "US",
            "telephone_number": "757-932-2390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4668 Pembroke Blvd Ste 115A",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234556423",
            "country_code": "US",
            "telephone_number": "757-648-8562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHISONI MENASHI",
        "first_name": "MICHELLE",
        "middle_name": "ALLISON",
        "credential": "MSPT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209575",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL17569",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "GHISONI",
            "middle_name": "ALLISON",
            "credential": "MSPT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.