Individual provider Active NPI

Melissa Katherine Prushinski, MSPT

  • Physical Therapist
  • Plains, PA
National Provider Identifier
1932275310
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012718L Issued in PA
Practice address
1086 Route 315
Plains, PA 18702
Phone
(570) 823-7761
Fax
(570) 822-8033
NPI assigned
Nov 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT012718L PA Primary

Addresses

Primary practice location

1086 Route 315
Plains, PA 18702

Mailing address

1086 Route 315
Pro Rehabilitation Services
Plains, PA 18702
Phone (570) 823-7761

Other identifiers 7

IdentifierTypeStateIssuer
810397OtherFIRST PRIORITY
818035OtherFIRST PRIORITY
1555187OtherBLUE SHIELD
393539OtherHEALTH AMERICA ASSURANCE
348556OtherHEALTH AMERICA ASSURANCE
818036OtherFIRST PRIORITY
393538OtherHEALTH AMERICA ASSURANCE

Other names 1

  • Miss Melissa Katherine Lazarski Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231208001725 PA Practitioner - Physical Therapist in Private Practice 3779932249 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steffie Enterprises, IncGroup PAC ID 0840225736, 38 clinicians

Practice addresses (Care Compare)

220 S River St
Suite 101
Plains, PA 18705-1137
Phone (570) 235-1872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT012718LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Steffie Enterprises, Inc Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients
Derek Enterprises LLC Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients
Dylan RC Enterprises Inc Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients
Alycam Inc Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients

Locations

87 Oxford St
Hanover Township, PA 18706
Phone (570) 387-2202

693 Main St
New Milford, PA 18834
Phone (570) 465-2027

220 S River St
Ste 1
Plains, PA 18705
Phone (570) 235-1872

220 S River St
Ste 101
Plains, PA 18705
Phone (570) 235-1872

106 Rotary Dr
West Hazleton, PA 18202
Phone (570) 455-2286

1086 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (570) 823-7761

Organizations & group practices 4

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932275310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 ROUTE 315",
            "address_2": "PRO REHABILITATION SERVICES",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "18702",
            "telephone_number": "570-823-7761",
            "fax_number": "570-822-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 ROUTE 315",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "18702",
            "telephone_number": "570-823-7761",
            "fax_number": "570-822-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUSHINSKI",
        "first_name": "MELISSA",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT012718L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "810397",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "818035",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1555187",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA ASSURANCE",
            "identifier": "393539",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA ASSURANCE",
            "identifier": "348556",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "818036",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA ASSURANCE",
            "identifier": "393538",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "LAZARSKI",
            "middle_name": "KATHERINE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plains, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.