Active NPI
Melissa Sue Carman, MPT, ATC, CHT
- Physical Therapist
- Elkton, MD
National Provider Identifier
1932160793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 20976
- Practice address
- 801 Elkton Blvd Ste 3
Elkton, MD 21921-5323 - Phone
- (443) 350-9056
- Fax
- (443) 350-9565
- NPI assigned
- Mar 31, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 005549 | KY | |
| Physical Therapist | 225100000X | PT007686L | PA | |
| Physical Therapist | 225100000X | 20976 | MD | Primary |
Addresses
Primary practice location
801 Elkton Blvd Ste 3
Elkton, MD 21921-5323
Mailing address
350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0068377000 | Other | PA | AMERIHEALTH UNDER IBC |
| CK4276 | Other | PA | PALMETTO GBA RR MEDICARE |
| 03182100 | Other | PA | CAPITAL BLUE CROSS |
| 18444 | Other | PA | HEALTH AMERICA |
| 332313 | Other | PA | HIGHMARK BLUE SHIELD |
| 177124 | Other | PA | MEDICARE HGS ADMINISTRATO |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20976 | MD | MD | Physical Therapist |
| PT007686L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy Institute LLC | Physical Therapist | 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 Therapist
- Mt Sterling, KY
- NPI 1659333631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546560000000",
"number": "1932160793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 NEW FIDELITY CT",
"city": "GARNER",
"state": "NC",
"postal_code": "275292665",
"telephone_number": "919-258-2714",
"fax_number": "410-648-4878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 ELKTON BLVD STE 3",
"city": "ELKTON",
"state": "MD",
"postal_code": "219215323",
"telephone_number": "443-350-9056",
"fax_number": "443-350-9565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARMAN",
"first_name": "MELISSA",
"middle_name": "SUE",
"name_prefix": "Ms.",
"credential": "MPT, ATC, CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2019-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "005549",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT007686L",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "20976",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH UNDER IBC",
"identifier": "0068377000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA RR MEDICARE",
"identifier": "CK4276",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "03182100",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "18444",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "332313",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE HGS ADMINISTRATO",
"identifier": "177124",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.