Individual provider Active NPI

Melissa Gayle Phillips, LMT, MMP.

  • Massage Therapist
  • Hixson, TN
National Provider Identifier
1821362096
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT0000008792 Issued in TN
Practice address
4513 Hixson Pike Ste 104
Hixson, TN 37343-5039
Phone
(423) 505-8852
Fax
(423) 877-1543
NPI assigned
Mar 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT0000008792 TN Primary

Addresses

Primary practice location

4513 Hixson Pike Ste 104
Hixson, TN 37343-5039

Mailing address

4513 Hixson Pike Ste 104
Hixson, TN 37343-5039
Phone (423) 505-8852

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

State licenses

LicenseStateTypeSpecialty
MT0000008792TNMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hixson Spine Center of Chattanooga,Inc. Past Accepting new patients

Organizations & group practices 1

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": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1821362096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 HIXSON PIKE STE 104",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435039",
            "telephone_number": "423-505-8852",
            "fax_number": "423-877-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 HIXSON PIKE STE 104",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435039",
            "telephone_number": "423-505-8852",
            "fax_number": "423-877-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MELISSA",
        "middle_name": "GAYLE",
        "credential": "LMT, MMP.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-05",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TN",
            "license": "MT0000008792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.