Individual provider Active NPI

Melissa L. Belcher, PT

  • Physical Therapist
  • South Portland, ME
National Provider Identifier
1982637526
Registry record updated Oct 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 2533 Issued in ME
Practice address
100 Foden Rd, West
Suite 205
South Portland, ME 04106-2327
Phone
(207) 780-8860
Fax
(207) 780-8857
NPI assigned
Jul 8, 2006
Last updated
Oct 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2013

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 2533 ME Primary

Addresses

Primary practice location

100 Foden Rd, West
Suite 205
South Portland, ME 04106-2327

Mailing address

100 Fore St
2ND Floor
Portland, ME 04101-4879
Phone (207) 773-5778

Other identifiers 3

IdentifierTypeStateIssuer
7959330OtherAETNA
266790099MedicaidME
043623OtherANTHEM

Other names 1

  • Melissa L. Nutting Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120702000190 ME Practitioner - Physical Therapist in Private Practice 3870758543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jade Trade Inc.Group PAC ID 5597852913, 4 clinicians

Practice addresses (Care Compare)

1023 Washington Ave
Portland, ME 04103-2793
Phone (207) 773-5778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 2533MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jade Trade Inc. Physical Therapist CurrentSince Nov 1, 2013 Accepting new patients
Intermed, PA Physical Therapist Past Accepting new patients
Intermed, PA Physical Therapist PastSince Mar 20, 1991 Accepting new patients

Locations

12 Windorf Cir
Brunswick, ME 04011
Phone (207) 844-8280

100 Fore St
Fl 2
Portland, ME 04101
Phone (207) 773-5778

Organizations & group practices 3

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382918400000",
    "number": "1982637526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FORE ST",
            "address_2": "2ND FLOOR",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014879",
            "telephone_number": "207-773-5778",
            "fax_number": "207-773-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FODEN RD, WEST",
            "address_2": "SUITE 205",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062327",
            "telephone_number": "207-780-8860",
            "fax_number": "207-780-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELCHER",
        "first_name": "MELISSA",
        "middle_name": "L.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2013-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT 2533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7959330",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266790099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "043623",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "NUTTING",
            "middle_name": "L.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; 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.