Active NPI
Ciera Melton, DPT
- Physical Therapist
- Pontiac, MI
National Provider Identifier
1871127308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501019512
- Practice address
- 3000 Centerpoint Pkwy
Pontiac, MI 48341-3116 - Phone
- (248) 857-6776
- Fax
- (248) 857-7102
- NPI assigned
- Feb 24, 2020
- 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 | 5501019512 | MI | Primary |
Addresses
Primary practice location
3000 Centerpoint Pkwy
Pontiac, MI 48341-3116
Mailing address
3000 Centerpoint Pkwy
Pontiac, MI 48341-3116
Phone (248) 857-6776
Other names 1
- Cierra Strudwick
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3000 Centerpoint Pkwy
Pontiac, MI 48341-3116
Phone (248) 857-6776
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501019512 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mansach Enterprises LLC | Physical Therapist | Current | Accepting new patients |
| Mansach Enterprises LLC | Current | Accepting new patients |
Locations
3000 Centerpoint Pkwy
Pontiac, MI 48341
Phone (248) 857-6776
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Pontiac, MI
- NPI 1043918659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1871127308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 CENTERPOINT PKWY",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483413116",
"telephone_number": "248-857-6776",
"fax_number": "248-857-7102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 CENTERPOINT PKWY",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483413116",
"telephone_number": "248-857-6776",
"fax_number": "248-857-7102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELTON",
"first_name": "CIERA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-24",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501019512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CIERRA",
"last_name": "STRUDWICK",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.