Individual provider Active NPI

Melissa R Yorton, DPT

  • Physical Therapist
  • Washougal, WA
National Provider Identifier
1790933315
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60045101 Issued in WA
Practice address
1700 Main St Ste 136
Washougal, WA 98671-4133
Phone
(360) 835-5349
Fax
(360) 835-5390
NPI assigned
Sep 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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 PT60045101 WA Primary

Addresses

Primary practice location

1700 Main St Ste 136
Washougal, WA 98671-4133

Mailing address

1700 Main St Ste 136
Washougal, WA 98671-4133
Phone (360) 835-5349

Other names 1

  • Melissa R Nohl 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
PT60045101WAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1790933315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MAIN ST STE 136",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986714133",
            "telephone_number": "360-835-5349",
            "fax_number": "360-835-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MAIN ST STE 136",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986714133",
            "telephone_number": "360-835-5349",
            "fax_number": "360-835-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORTON",
        "first_name": "MELISSA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60045101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "NOHL",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washougal, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.