Healthcare Provider Details

I. General information

NPI: 1588893887
Provider Name (Legal Business Name): MELISSA HUGGON DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2009
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1395 COMMERCE WAY STE 112
ATTLEBORO MA
02703-4695
US

IV. Provider business mailing address

4 RICHMOND SQ STE 200
PROVIDENCE RI
02906-5117
US

V. Phone/Fax

Practice location:
  • Phone: 508-455-5740
  • Fax: 508-455-5945
Mailing address:
  • Phone: 401-433-4172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number18698
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: