Active NPI
Melissa J McCarthy, PT
- Physical Therapist
- Saint Paul, MN
National Provider Identifier
1881982858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8817
- Practice address
- 976 Grand Ave
Saint Paul, MN 55105-3014 - Phone
- (952) 927-8686
- NPI assigned
- Jul 12, 2011
- 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 | 8817 | MN | Primary |
Addresses
Primary practice location
976 Grand Ave
Saint Paul, MN 55105-3014
Mailing address
5050 W 36TH St Ste 100
St Louis Park, MN 55416-5470
Phone (952) 925-4085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110829000670 | MN | Practitioner - Physical Therapist in Private Practice | 1759551880 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8817 | MN | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicenter Physical Therapy, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Spring Lake Park, MN
- NPI 1346287158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1881982858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5050 W 36TH ST STE 100",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554165470",
"telephone_number": "952-925-4085",
"fax_number": "952-925-1394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "976 GRAND AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551053014",
"telephone_number": "952-927-8686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "MELISSA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-12",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "8817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.