Individual provider Active NPI

Melissa Cingolani, PT, MS

  • Physical Therapist
  • Cabot, AR
National Provider Identifier
1962878777
Registry record updated Aug 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 583 Issued in AR
Practice address
206 Plaza Blvd
Cabot, AR 72023-3750
Phone
(501) 286-7711
Fax
(501) 286-7958
NPI assigned
Aug 16, 2015
Last updated
Aug 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2015

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 PT 583 AR Primary

Addresses

Primary practice location

206 Plaza Blvd
Cabot, AR 72023-3750

Mailing address

206 Plaza Blvd
Suite F
Cabot, AR 72023-3750
Phone (501) 286-7711

Other identifiers 2

IdentifierTypeStateIssuer
19722634210OtherARNPI
141582742MedicaidAR

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT 583ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Home Therapy Physical Therapist PastSince Jan 1, 2000 Accepting new patients
Advanced Pediatric Therapy Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1439683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439683200000",
    "number": "1962878777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 PLAZA BLVD",
            "address_2": "SUITE F",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720233750",
            "telephone_number": "501-286-7711",
            "fax_number": "501-286-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 PLAZA BLVD",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720233750",
            "telephone_number": "501-286-7711",
            "fax_number": "501-286-7958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CINGOLANI",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "PT, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-16",
        "last_updated": "2015-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "19722634210",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141582742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabot, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2015; 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.