Individual provider Active NPI

Melissa Mable Laye, DPT

  • Physical Therapist
  • Leesburg, GA
National Provider Identifier
1922330356
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009865 Issued in GA
Practice address
1366 US Highway 82 W
Leesburg, GA 31763-5810
Phone
(229) 883-4009
Fax
(229) 336-1151
NPI assigned
Feb 10, 2010
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 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 009865 GA Primary

Addresses

Primary practice location

1366 US Highway 82 W
Leesburg, GA 31763-5810

Mailing address

130 E Broad St
Camilla, GA 31730-1809
Phone (229) 336-1115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100525000179 GA Practitioner - Physical Therapist in Private Practice 5294864542 Reassigns benefits to 1 organization
I20250410001366 AK Practitioner - Physical Therapist in Private Practice 5294864542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flint River Physical Therapy. LLCGroup PAC ID 9234038662, 5 clinicians
Summit Physical Therapy IncGroup PAC ID 5597029793, 13 clinicians

Practice addresses (Care Compare)

1366 US Hwy 82 W
Leesburg, GA 31763-5810
Phone (229) 883-4009

601 E Pioneer Ave
Suite 218
Homer, AK 99603-7694
Phone (907) 235-7473

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009865GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Physical Therapy, Inc. Physical Therapist CurrentSince May 9, 2025 Accepting new patients
Accelerated Physical Therapy, Inc. Physical Therapist PastSince Aug 1, 2003 Accepting new patients

Locations

601 E Pioneer Ave
Ste 218
Homer, AK 99603
Phone (907) 235-7473

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1922330356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E BROAD ST",
            "city": "CAMILLA",
            "state": "GA",
            "postal_code": "317301809",
            "telephone_number": "229-336-1115",
            "fax_number": "229-336-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1366 US HIGHWAY 82 W",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317635810",
            "telephone_number": "229-883-4009",
            "fax_number": "229-336-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYE",
        "first_name": "MELISSA",
        "middle_name": "MABLE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-10",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "009865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.