Active NPI
Misty Melissa Fearon, PT
- Physical Therapist
- Ithaca, NY
National Provider Identifier
1922138148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0180361
- Practice address
- 1001 W Seneca St
Suite 100
Ithaca, NY 14850-3342 - Phone
- (607) 277-8020
- Fax
- (607) 277-7961
- NPI assigned
- Mar 6, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01236800 | NJ | |
| Physical Therapist | 225100000X | 0180361 | NY | Primary |
Addresses
Primary practice location
1001 W Seneca St
Suite 100
Ithaca, NY 14850-3342
Mailing address
1001 W Seneca St
Suite 100
Ithaca, NY 14850-3342
Phone (607) 277-8020
Other names 1
- Misty Melissa Morris
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0180361 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fall Prevention and Rehabilitation, LLP | Physical Therapist | Past | Accepting new patients |
| Franziska Racker Centers Inc | Physical Therapist | Past | Accepting new patients |
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.
-
- Chiropractor
- West Orange, NJ
- NPI 1639105919
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298937600000",
"number": "1922138148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 W SENECA ST",
"address_2": "SUITE 100",
"city": "ITHACA",
"state": "NY",
"postal_code": "148503342",
"telephone_number": "607-277-8020",
"fax_number": "607-277-7961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W SENECA ST",
"address_2": "SUITE 100",
"city": "ITHACA",
"state": "NY",
"postal_code": "148503342",
"telephone_number": "607-277-8020",
"fax_number": "607-277-7961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEARON",
"first_name": "MISTY",
"middle_name": "MELISSA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2011-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01236800",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0180361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MISTY",
"last_name": "MORRIS",
"middle_name": "MELISSA",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ithaca, NY
- Family Medicine Associates of Ithaca (Family Medicine Associates State St)
- Family Medicine Associates of Ithaca (Family Medicine Associates- Brentwood)
- Family Medicine Associates of Ithaca LLP
- Diane Russell Farnham, P.T.
- Megan L. Farrell, RN
- Betti Fecrizzi, RN
- Krista Ali Fedorchak, MS, RDN, CDN
- Rudolph Peter Fedrizzi, MD
- Christine Marie Feely, MPT
- Howard Marvin Feinstein, M.D., PH.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.