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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISTY MELISSA FEARON, PT

Active

MISTY MELISSA FEARON, PT is a Physical Therapy Assistant healthcare provider located in ITHACA, New York. NPI 1922138148 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · ITHACA, NY

Registration Details

NPI Number
1922138148
Provider Type
Individual
Gender
Female
NPI Issued
Mar 6, 2007 (19.443408446286 yrs)
Last Updated
Mar 1, 2011
Licenses
40QA01236800 (NJ)
0180361 (NY)

Practice Information

Address
1001 W SENECA ST
SUITE 100
ITHACA, NY, 148503342
Browse NY providers · Browse ZIP 14850
Phone
6072778020
Fax
6072777961
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in ITHACA, NY

Name Credential NPI
MR. KYLE R ADAMS PT,DPT,CSCS,OCS, FAA 1720088073
DR. PETER AMIN ABBASS PT, DPT 1952392227
SUSAN MICHLOVITZ PT 1689645335
BETH PARIS PT 1902872690
SANDRA J UPPVALL PT 1902872609
CHRISTINE MCNAMARA 1487620555
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.