Melissa Cromack

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA00597 Issued in RI

Practice address

730 Kingstown Rd
South Kingstown, RI 02879-3011

Phone

(401) 284-3424

NPI assigned

Jun 20, 2022

Last updated

Jun 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Olympic Physical Therapy & Sports Medicine Inc.

  • Physical Therapist
  • Middletown, RI
  • NPI 1912099938
  NPD

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1851022008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 KINGSTOWN RD",
            "city": "SOUTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028793011",
            "telephone_number": "401-284-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 KINGSTOWN RD",
            "city": "SOUTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028793011",
            "telephone_number": "401-284-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROMACK",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "RI",
            "license": "PTA00597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcromack@opt-ri.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "730 Kingstown Rd",
            "city": "South Kingstown",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028793011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael J Church, LCSW
• Barbara McGee Coghlin, MD
• Thomas J. Coghlin, MD
• Sarah Lynn Cohen, DPT
• Erin Craig
• Caitlin Joy D'Alessandro, LMHC, ATR
• Andrea D'Antonio, CPNP
• Ashley Daigneault, LICSW
• Aprile Rose Daley, LICSW
• Laura Davidson, NP

• Physical Therapy Assistant in South Kingstown, RI
• Providers in South Kingstown, RI by specialty
• Physical Therapy Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.