Active NPI
Melissa Jane Roberts, LPTA
- Physical Therapy Assistant
- Chesapeake, VA
National Provider Identifier
1932474269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2306602689
- Practice address
- 100 Wimbledon SQ
Chesapeake, VA 23320-4931 - Phone
- (757) 547-5145
- NPI assigned
- Mar 20, 2012
- Last updated
- Mar 20, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2306602689 | VA | Primary |
Addresses
Primary practice location
100 Wimbledon SQ
Chesapeake, VA 23320-4931
Mailing address
1340 Barbara CT
Chesapeake, VA 23322-2708
Phone (757) 421-2682
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2306602689 | VA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332201600000",
"number": "1932474269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 BARBARA CT",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233222708",
"telephone_number": "757-421-2682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WIMBLEDON SQ",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204931",
"telephone_number": "757-547-5145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "MELISSA",
"middle_name": "JANE",
"credential": "LPTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-20",
"last_updated": "2012-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VA",
"license": "2306602689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesapeake, VA
- Robert M Jurko MD LTD
- Roberts Home Medical LLC
- Mary C Roberts-Curran, REGISTERED DIETITIAN
- Cassandra Leigh Roberts, CPNP
- Jenny L Roberts, PA
- Tiffany K Roberts, PHD
- William Joseph Roberts Jr., CSA
- Lauren Michele Robertson-Gebert, RRT
- Ayana Monique Robertson, RBT
- Robin Shelton, LCSW, PLLC (Life Watch Therapy & Counseling)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.