Individual provider Active NPI

Melissa L. Pollock, PT, DPT

  • Physical Therapist
  • Richmond, VA
National Provider Identifier
1831635895
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305210777 Issued in VA
Practice address
2040 John Rolfe Pkwy
Richmond, VA 23238-8111
Phone
(804) 754-0916
Fax
(804) 754-0919
NPI assigned
Jan 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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 2305210777 VA Primary

Addresses

Primary practice location

2040 John Rolfe Pkwy
Richmond, VA 23238-8111

Mailing address

PO Box 69030
Baltimore, MD 21264-9030
Phone (757) 873-2302

Other identifiers 1

IdentifierTypeStateIssuer
C05954OtherVAMEDICARE GROUP PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170329002402 VA Practitioner - Physical Therapist in Private Practice 5890070007 Reassigns benefits to 3 organizations
I20231128000340 DC Practitioner - Physical Therapist in Private Practice 5890070007 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RWW Senior Living Outpatient Rehab Services LLCGroup PAC ID 2163954314, 56 clinicians

Practice addresses (Care Compare)

5101 C Backlick Rd
Suite 2
Annandale, VA 22003-6062
Phone (571) 491-8887

567 N Parham Rd
Henrico, VA 23229-7203
Phone (866) 808-4133

Merit-based Incentive Payment System (MIPS)

Final score
88.16 of 100Reported as group
Quality
85.78
Promoting interoperability
99
Improvement activities
40
Cost
75.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305210777VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Nov 13, 2023 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Jan 17, 2017 Accepting new patients
Legacy Healthcare Services, Inc Physical Therapist CurrentSince Nov 13, 2023 Accepting new patients
RWW Senior Living Outpatient Rehab Services, LLC Physical Therapist CurrentSince Jun 16, 2025 Accepting new patients
RWW Senior Living Outpatient Rehab Services, LLC Physical Therapist CurrentSince Jun 16, 2025 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Jan 17, 2017 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Nov 13, 2023 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist Past Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist Past Accepting new patients
Tidewater Physical Therapy LLC Physical Therapist Past Accepting new patients
Tidewater Physical Therapy LLC Physical Therapist Past Accepting new patients
Tidewater Physical Therapy LLC Physical Therapist Past Accepting new patients
Tidewater Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

110 Horizon Dr
#310
Raleigh, NC 27615

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

5101C Backlick Rd
Ste 2
Annandale, VA 22003
Phone (571) 491-8887

10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210

6970 Fox Hunt Ln
Gloucester, VA 23061
Phone (804) 694-8111

771 Pilot House Dr
#A
Newport News, VA 23606
Phone (757) 873-2302

2040 John Rolfe Pkwy
Richmond, VA 23238
Phone (804) 754-0916

567 N Parham Rd
Richmond, VA 23229
Phone (571) 491-8887

3365 Ogden Rd
Roanoke, VA 24018
Phone (540) 682-7500

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1831635895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69030",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212649030",
            "telephone_number": "757-873-2302",
            "fax_number": "757-873-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 JOHN ROLFE PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232388111",
            "telephone_number": "804-754-0916",
            "fax_number": "804-754-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "MELISSA",
        "middle_name": "L.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-16",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "C05954",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.

Verify at the official NPI Registry.