Individual provider Active NPI

Melissa M Meiste, M.S.P.T.

  • Physical Therapist
  • Holland, MI
National Provider Identifier
1992754188
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501010233 Issued in MI
Practice address
12723 N Bellwood Dr
Ste 10
Holland, MI 49424-7275
Phone
(616) 796-9391
Fax
(888) 714-4474
NPI assigned
May 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2016

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 5501010233 MI Primary

Addresses

Primary practice location

12723 N Bellwood Dr
Ste 10
Holland, MI 49424-7275

Mailing address

12723 N Bellwood Dr
Ste 10
Holland, MI 49424-7275
Phone (616) 796-9391

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060612000275 MI Practitioner - Physical Therapist in Private Practice 0941212989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephew Services IncGroup PAC ID 1557548336, 2 clinicians

Practice addresses (Care Compare)

12723 N Bellwood Dr
Suite 10
Holland, MI 49424-7275
Phone (616) 796-9391

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501010233MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nephew Services, LLC Physical Therapist PastSince May 1, 2006 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1992754188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12723 N BELLWOOD DR",
            "address_2": "STE 10",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494247275",
            "telephone_number": "616-796-9391",
            "fax_number": "888-714-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12723 N BELLWOOD DR",
            "address_2": "STE 10",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494247275",
            "telephone_number": "616-796-9391",
            "fax_number": "888-714-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEISTE",
        "first_name": "MELISSA",
        "middle_name": "M",
        "credential": "M.S.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.