MRS. MELISSA ANN WILSON (NPI# 1487797288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487797288 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA ANN WILSON |
| Credential | MS ATC |
| Practice Address |
120 Erie Canal Dr Rochester NY 14626-4607 |
| Mailing Address |
656 Morgan Rd Scottsville NY 14546-9754 |
| Practice Telephone | 5852256296 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
001303-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205441797 | Melissa Lynn Wilson | Technician | 505 Gallaher St Apt 1a, Saint Marys, WV 26170-1443 | 2020-09-10 |
| 1285249003 | Melissa Anderson Wilson | Counselor | 16372 Man Owar Ln, Westfield, IN 46074-4800 | 2020-09-09 |
| 1548870892 | Melissa Michelle Wilson | Nurse Practitioner | 2602 Saint Michael Dr Ste 302a, Texarkana, TX 75503-2387 | 2020-08-02 |
| 1174152912 | Melissa Marie Wilson | Registered Nurse | 905 Forksbridge Ct, Gambrills, MD 21054-1655 | 2020-04-03 |
| 1366075178 | Melissa Lynn Wilson | Behavior Technician | 5104 King Rd, China, MI 48054 | 2020-02-20 |
| 1225549926 | Melissa Marina Wilson | Acupuncturist | 151 N Sunrise Ave Ste 819, Roseville, CA 95661-2928 | 2017-10-20 |
| 1265941694 | Melissa Jane Wilson | Nurse Practitioner | 10 N Highway 27, Whitley City, KY 42653-6024 | 2017-09-28 |
| 1194245423 | Melissa Brooke Wilson | Speech-Language Pathologist | 345 Research Drive Apartment 76, Athens, GA 30605 | 2017-06-27 |
| 1306221700 | Melissa Wilson | Social Worker | 960 Tunnel Rd, Asheville, NC 28805-2026 | 2015-07-27 |
| 1255728564 | Melissa Wilson | Registered Nurse | 19437 N 4230 Rd, Antlers, OK 74523-0753 | 2015-04-24 |
| Street Address |
120 ERIE CANAL DR |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14626-4607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477528263 | Darushe Anissi | Acupuncturist | 120 Erie Canal Dr, Suite 200, Rochester, NY 14626-4607 | 2006-02-23 |
| 1790234722 | Ridgeway Physical Therapy and Chiropractic Pllc | Chiropractor | 120 Erie Canal Dr, Suite 130, Rochester, NY 14626-4607 | 2016-10-03 |
| 1013148154 | Shannon N Schiller | Physical Therapist | 120 Erie Canal Dr, Suite 310, Rochester, NY 14626-4607 | 2009-08-06 |
| 1720261415 | Jessica Haffey | Specialist | 120 Erie Canal Dr, Suite 310, Rochester, NY 14626-4607 | 2007-12-17 |
| 1306029087 | Sarah D Wait | Specialist | 120 Erie Canal Dr, Suite 310, Rochester, NY 14626-4607 | 2007-12-17 |
| 1790828531 | Todd Peterson | Physical Therapy Assistant | 120 Erie Canal Dr, Rochester, NY 14626-4607 | 2007-02-14 |
| 1164577805 | Gerald F Campo | Dentist | 120 Erie Canal Dr, Suite 150, Rochester, NY 14626-4607 | 2007-01-24 |
| 1871647388 | Micah Jeremy Sugarman | Chiropractor | 120 Erie Canal Dr, Suite 130, Rochester, NY 14626-4607 | 2007-01-22 |
| 1710941901 | Ridgewood Diagnostic Imaging | Radiology | 120 Erie Canal Dr, Rochester, NY 14626-4607 | 2006-04-14 |
| 1629044136 | Thomas Sweeney | Obstetrics & Gynecology | 120 Erie Canal Dr, Rochester, NY 14626-4607 | 2006-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760978084 | Elizabeth M Neenan | Nurse Practitioner | 105 Canal Landing Blvd. Suite 1, Rochester, NY 14626 | 2018-07-10 |
| 1811488737 | Anthony Richard Mesolella | Dentist | 2081 W Ridge Rd Ste 204, Rochester, NY 14626 | 2018-05-26 |
| 1285157370 | Heather Kate Byam | Nurse Anesthetist, Certified Registered | 280 Mill Road, Rochester, NY 14626 | 2017-07-20 |
| 1710415039 | Abner O De Los Santos | Dentist | 120 Erie Canal Dr Ste 150, Rochester, NY 14626 | 2017-05-31 |
| 1609308709 | Ulfat Shafiq | Dentist | 1100 Long Pond Rd Ste 115, Greece, NY 14626 | 2017-03-29 |
| 1174982953 | S.a.v.o.c L.l.c | Preferred Provider Organization | 2833 West Ridge Road, Pearle Vision Ridgemont Plaza Suite 'a', Rochester, NY 14626 | 2016-02-22 |
| 1700244357 | Kerri Anne Sawyer | Registered Nurse | 82 Southridge Drive, Rochester, NY 14626 | 2016-02-10 |
| 1518398106 | Braces of Greece | Exclusive Provider Organization | 770 Fetzner Rd., Rochester, NY 14626 | 2013-12-06 |
| 1477983443 | Amy Pawlyk | Licensed Practical Nurse | 116 Annie Lane, Rochester, NY 14626 | 2013-11-12 |
| 1689911208 | Kathleen Zimmerman | Occupational Therapist | 1555 Long Pond Rd., 4th Floor, Rochester, NY 14626 | 2013-01-16 |
| Find all providers in zip 14626 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
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| 1013540749 | Bryan Alves | Specialist/Technologist | 30 Poplar Garden Ln Apt B, Rochester, NY 14606-4826 | 2020-02-21 |
| 1942845912 | Jeffrey Gage Boyle | Specialist/Technologist | 564 Salmon Falls Rd, Rochester, NH 03868-5907 | 2019-11-13 |
| 1932744364 | Takashi Nagai | Specialist/Technologist | 4718 Alan Ln Nw, Rochester, MN 55901-5677 | 2019-11-08 |
| 1003378860 | Jessicanne M Pacatte | Specialist/Technologist | Nazareth College, 4245 East Avenue, Rochester, NY 14618-1461 | 2019-04-02 |
| 1942764972 | Erica J Perkins | Specialist/Technologist | 701 31st St Ne, Rochester, MN 55906-3935 | 2019-01-23 |
| 1902397169 | Laurie Ann Biracree | Specialist/Technologist | 199 Wakefield St, Rochester, NH 03867-1303 | 2018-05-23 |
| 1073015715 | Nicole Minnis | Specialist/Technologist | 11 Hynes Ct, Rochester, NH 03839-5432 | 2018-03-07 |
| 1609388743 | Keegan Murphy Warner | Specialist/Technologist | 2200 N Squirrel Rd Rm 116, Rochester, MI 48309-4402 | 2017-10-30 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.