Melissa Sholomicky

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

09465 Issued in OR

Practice address

530 Birch St
Junction City, OR 97448-1524

Phone

(541) 998-2395

NPI assigned

Jun 17, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1942595889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 COVENTRY LN",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067701544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 BIRCH ST",
            "city": "JUNCTION CITY",
            "state": "OR",
            "postal_code": "974481524",
            "telephone_number": "541-998-2395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Hazel Ave",
            "address_purpose": "LOCATION",
            "city": "Naugatuck",
            "state": "CT",
            "postal_code": "067704706",
            "country_code": "US",
            "telephone_number": "203-720-3411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1002 Forest Dr",
            "address_purpose": "LOCATION",
            "city": "Riverton",
            "state": "WY",
            "postal_code": "825012918",
            "country_code": "US",
            "telephone_number": "307-856-9471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOLOMICKY",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-17",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WY",
            "license": "0977",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CT",
            "license": "001096",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "09465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Elaine Seitzinger
• Brendan Patrick Shamloo
• James Sharp, O.D.
• Chelsea Sheehy
• Zoe Makenzi Shellhammer
• Amanda Silacci, RD, LD
• Brendan Lee Simons
• Cara Lynn Skaife, CSAW
• Randall Rohaul Skirvin, D.PH.
• Bailey Marie Sloan

• Physical Therapy Assistant in Junction City, OR
• Providers in Junction City, OR by specialty
• Physical Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.