Active NPI
Melissa C Haddock, PT
- Physical Therapist
- Oklahoma City, OK
National Provider Identifier
1851357404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2101
- Practice address
- 801 NW 63Rd St
Oklahoma City, OK 73116-7603 - Phone
- (405) 879-9997
- Fax
- (405) 789-3397
- NPI assigned
- Apr 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2101 | OK | Primary |
Addresses
Primary practice location
801 NW 63Rd St
Oklahoma City, OK 73116-7603
Mailing address
508 Hollowdale
Edmond, OK 73003-3026
Phone (405) 826-6446
Other names 1
- Mrs. Melissa C White
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2101 | OK | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornelson Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Specialized Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
| Comprehensive Therapy Services, Inc. | Physical Therapist | Past | Accepting new patients |
| TSG Physical Therapy, LLC | Past | Accepting new patients |
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.
-
- Physical Therapist
- Edmond, OK
- NPI 1235156035
-
- Physical Therapist
- Oklahoma City, OK
- NPI 1831716968
-
- Physical Therapist
- Oklahoma City, OK
- NPI 1699747972
-
- Physical Medicine & Rehabilitation Physician
- Edmond, OK
- NPI 1992753834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851357404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 HOLLOWDALE",
"city": "EDMOND",
"state": "OK",
"postal_code": "730033026",
"telephone_number": "405-826-6446",
"fax_number": "405-330-6556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 NW 63RD ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731167603",
"telephone_number": "405-879-9997",
"fax_number": "405-789-3397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADDOCK",
"first_name": "MELISSA",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "2101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "WHITE",
"middle_name": "C",
"prefix": "MRS.",
"credential": "PT, JD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.