Melissa Mackay

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT021344 Issued in OH

Practice address

986 Tibbetts Wick Rd BLDG 2
Girard, OH 44420-1138

Phone

(330) 919-9575

Fax

(330) 919-9576

NPI assigned

Oct 6, 2025

Last updated

Oct 6, 2025By 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

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Patriot Outpatient Therapy, LLC

  • Physical Therapist
  • Mason, OH
  • NPI 1609672658
  Medicare reassignment NPD

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1881569465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 TIBBETTS WICK RD BLDG 2",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444201138",
            "telephone_number": "330-919-9575",
            "fax_number": "330-919-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 TIBBETTS WICK RD BLDG 2",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444201138",
            "telephone_number": "330-919-9575",
            "fax_number": "330-919-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKAY",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT021344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty Assem Dbaheavenly Helpers
• Lifeline Partners, Inc
• Andrea Lynn Logue
• Ashley De Ann Logue
• Erika Longo, DPT
• Isda Magsomboon
• Susan Malkoff Sr., LISW
• Karrie Anne Maloy
• Michael S Marr II, DMD
• Martha Burton-Allen (Heartland Counseling, LLC)

• Physical Therapist in Girard, OH
• Providers in Girard, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.