Individual provider Active NPI

Melissa Seitz, PT, DPT

  • Physical Therapist
  • Coppell, TX
National Provider Identifier
1902421399
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1294253 Issued in TX
Practice address
230 N Denton Tap Rd Ste 104
Coppell, TX 75019-2135
Phone
(469) 702-5972
NPI assigned
Jun 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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 1294253 TX Primary

Addresses

Primary practice location

230 N Denton Tap Rd Ste 104
Coppell, TX 75019-2135

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-1980

Other practice location 1

215 W Camp Wisdom Rd Ste 11
Duncanville, TX 75116-3342
Phone (888) 854-1397

Other names 1

  • Melissa Stewart Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240312003007 TX Practitioner - Physical Therapist in Private Practice 4587000518 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

230 N Denton Tap Rd
Suite 104
Coppell, TX 75019-2135
Phone (469) 702-5972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1294253TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Luna Care Physical Therapy LLC Physical Therapist CurrentSince Feb 29, 2024 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Mar 25, 2024 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Mar 25, 2024 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Feb 29, 2024 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Feb 29, 2024 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

5615 Colleyville Blvd
Ste 130
Colleyville, TX 76034
Phone (817) 576-0995

230 N Denton Tap Rd
Ste 104
Coppell, TX 75019
Phone (469) 702-5972

125 N MacArthur Blvd
Irving, TX 75061
Phone (972) 887-3318

7801 N Richland Blvd
North Richlnd Hls, TX 76180
Phone (469) 609-9044

180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1902421399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N DENTON TAP RD STE 104",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192135",
            "telephone_number": "469-702-5972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 W Camp Wisdom Rd Ste 11",
            "address_purpose": "LOCATION",
            "city": "Duncanville",
            "state": "TX",
            "postal_code": "751163342",
            "country_code": "US",
            "telephone_number": "888-854-1397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEITZ",
        "first_name": "MELISSA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1294253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "STEWART",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.