Individual provider Active NPI

Melissa Anne Cates Gerdes, MPT

  • Physical Therapist
  • Carson City, NV
National Provider Identifier
1851407555
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2945 Issued in NV
Practice address
623 W Washington St Ste B
Carson City, NV 89703-3837
Phone
(775) 364-0700
Fax
(775) 461-0215
NPI assigned
Aug 22, 2006
Last updated
Feb 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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 2945 NV Primary

Addresses

Primary practice location

623 W Washington St Ste B
Carson City, NV 89703-3837

Mailing address

623 W Washington St Ste B
Carson City, NV 89703-3837
Phone (775) 364-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230216001377 NV Practitioner - Physical Therapist in Private Practice 5890963243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

623 W Washington St
Suite B
Carson City, NV 89703-3837
Phone (775) 364-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2945NVMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bluebird Manual Therapy LLC Physical Therapist CurrentSince Oct 31, 2022 Accepting new patients

Locations

623 W Washington St
Ste B
Carson City, NV 89703
Phone (775) 364-0700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1851407555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 W WASHINGTON ST STE B",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033837",
            "telephone_number": "775-364-0700",
            "fax_number": "775-461-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 W WASHINGTON ST STE B",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033837",
            "telephone_number": "775-364-0700",
            "fax_number": "775-461-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERDES",
        "first_name": "MELISSA",
        "middle_name": "ANNE CATES",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.