MEDICARE: MS. MELISSA J BAPTISTE P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	38719	CA
2	225100000X	Physical Therapist	PT23963	FL
3	225100000X	Physical Therapist	070019102	IL

General Provider Information

NPI Number	:	1972763712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MELISSA J BAPTISTE P.T.

Provider Business Mailing Address
First Line	:	259 E ERIE ST STE 2454
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2987
Country	:	US
Telephone Number	:	312-695-6868
Fax Number	:

Provider Business Practice Location Address
First Line	:	259 E ERIE ST STE 2454
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2987
Country	:	US
Telephone Number	:	312-695-6868
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2008
Last Update Date	:	07/21/2022

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