Active NPI
Melissa Nolan, P.T.
- Physical Therapist
- Wilmington, DE
National Provider Identifier
1952842643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J1-0002180
- Practice address
- 750 Shipyard Dr
Suite 100
Wilmington, DE 19801-5157 - Phone
- (302) 658-3000
- NPI assigned
- Mar 14, 2017
- Last updated
- Mar 14, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J1-0002180 | DE | Primary |
| Physical Therapist | 225100000X | PT018564 | PA |
Addresses
Primary practice location
750 Shipyard Dr
Suite 100
Wilmington, DE 19801-5157
Mailing address
750 Shipyard Dr
Suite 100
Wilmington, DE 19801-5157
Phone (302) 658-3000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1-0002180 | DE | MD | Physical Therapist |
| PT018564 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489449600000",
"number": "1952842643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 SHIPYARD DR",
"address_2": "SUITE 100",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198015157",
"telephone_number": "302-658-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 SHIPYARD DR",
"address_2": "SUITE 100",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198015157",
"telephone_number": "302-658-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAN",
"first_name": "MELISSA",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-14",
"last_updated": "2017-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0002180",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT018564",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.