Melissa S Pettavino in Covington - Physical Therapist
Melissa S Pettavino - NPI 1548391121
Melissa S Pettavino is a Physical Therapist in Covington, Louisiana. Melissa S Pettavino practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Melissa S Pettavino is 1548391121. The last update date is 2022-05-19.
Melissa S Pettavino's current location address is 19105 Sandy Lane, Covington, Louisiana. You can contact this provider via phone number 9857927700 and fax number 9852478220. The mailing address for Melissa S Pettavino is 19105 Sandy Lane, Covington, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa S Pettavino |
|---|---|
| Address | 19105 Sandy Lane, Covington, Louisiana |
| Phone Number | 9857927700 |
| Fax Number | 9852478220 |
| Sole Proprietor | Y |
| Credentials | PT, MPT |
NPI Number Detail
| NPI Number | 1548391121 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2022-05-19 |
Provider Mailing Address Detail
| Address | 19105 Sandy Lane |
|---|---|
| City | Covington |
| State | Louisiana (LA) |
| Post Code | 70433 |
| Phone Number | 9857927700 |
| Fax Number | 9852478220 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 4135 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1315795 | LA | -- |
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What is the unique 10-digit identification code assigned to Melissa S Pettavino by the Centers for Medicare & Medicaid Services?
The Melissa S Pettavino has been issued the NPI (National Provider Identifier) 1548391121, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Melissa S Pettavino located?
The Melissa S Pettavino is located at 19105 Sandy Lane, Covington, LA 70433.
What is the Melissa S Pettavino's area of specialization and corresponding taxonomy classification?
The Melissa S Pettavino's specialty field is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their specialties.
On what date did the Melissa S Pettavino receive its 1548391121 assignment from the Centers for Medicare & Medicaid Services?
The Melissa S Pettavino was assigned its 1548391121 by the Centers for Medicare & Medicaid Services on 2007-03-08.
As of what date were the details related to Melissa S Pettavino most recently updated or revised?
The information pertaining to Melissa S Pettavino, including its address, specialty, and other relevant details, was last updated or revised on 2022-05-19.