DR. MELISSA W THIBAULT (NPI# 1841283413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841283413 |
| Entity Type | Individual |
| Full Name | DR. MELISSA W THIBAULT |
| Credential | M.D. |
| Practice Address |
201 Dates Dr Suite 201 Ithaca NY 14850-1345 |
| Mailing Address |
202 Taughannock Blvd Po Box 366 Ithaca NY 14850-3328 |
| Practice Telephone | 6072774097 |
| Practice Fax Number | 6072774142 |
| Mailing Telephone | 6072773257 |
| Mailing Fax Number | 6072774056 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2008-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 232165 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02552894 | 05 |
| Street Address |
201 DATES DR SUITE 201 |
| City | ITHACA |
| State | NY |
| Zip Code | 14850-1345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295029460 | Shaun M Cobb | Pharmacist | 201 Dates Dr, Suite 102, Ithaca, NY 14850-1345 | 2011-06-06 |
| 1558674465 | Leanna Elizabeth Weinert-watson | Nurse Practitioner | 201 Dates Dr, Ithaca, NY 14850-1345 | 2010-07-20 |
| 1942439690 | Gayatri Jayaraman | Internal Medicine | 201 Dates Dr, Ithaca, NY 14850 | 2009-07-02 |
| 1760647150 | Davita of New York Inc | Clinic/Center | 201 Dates Dr, Ste 206, Ithaca, NY 14850-1345 | 2008-07-24 |
| 1639394323 | Reilly W. Coch | Internal Medicine | 201 Dates Dr, Ithaca, NY 14850 | 2007-04-16 |
| 1851327902 | Empire State Dc Inc | Clinic/Center | 201 Dates Dr, Ste 206, Ithaca, NY 14850-1345 | 2006-06-23 |
| 1558310292 | Dana Gabriela Negoi | Internal Medicine | 201 Dates Dr, Ithaca, NY 14850-1345 | 2006-05-09 |
| 1912960790 | Robert A Hesson | Internal Medicine | 201 Dates Dr, Suite 206, Ithaca, NY 14850-1345 | 2006-04-11 |
| 1326021023 | Andrew J. Morpurgo | Physical Medicine & Rehabilitation | 201 Dates Dr, Suite 201, Ithaca, NY 14850-1345 | 2005-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123897 | Michelle Lee Sanito | Registered Nurse | 400 Lake Street, Ithaca, NY 14850 | 2020-10-30 |
| 1457959843 | Summit Alternatives Lmsw PC | Community/Behavioral Health | 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 | 2020-10-16 |
| 1518581701 | Sameer Acharya | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-03 |
| 1699399873 | Anurag Aryal | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Internal Medicine Residency, Cayuga Med, Ithaca, NY 14850 | 2020-06-03 |
| 1932723228 | Binay Kumar Kshetree | Student in an Organized Health Care Education/Training Program | Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-02 |
| 1225657349 | Nima Hazrati Pour Fard | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Cayuga Medical Center, 101, Ithaca, NY 14850 | 2020-04-09 |
| 1326671090 | Garret Hoskey | Specialist/Technologist | 953 Dany Road, Ithaca, NY 14850 | 2020-02-20 |
| 1609407709 | En-ting Hsu | Marriage & Family Therapist | 110 N. Cayuga Street 4th Floor Suite 3, Ithaca, NY 14850 | 2020-01-28 |
| 1306491063 | Patrick Owen Mckeon | Specialist/Technologist | Hill Center G66, 953 South Danby Rd., Ithaca, NY 14850 | 2019-08-08 |
| 1538722343 | Priyesh Thakurathi | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Cayuga Medical Center, Internal Medicine Residency Program, Ithaca, NY 14850 | 2019-04-17 |
| Find all providers in zip 14850 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740565001 | Margery Claire Holman | Physical Medicine & Rehabilitation | 402 Third Street, Ste 2, Ithaca, NY 14850 | 2011-10-19 |
| 1679170682 | Brian Burns | Physical Medicine & Rehabilitation | 2359 N Triphammer Rd, Ithaca, NY 14850-1059 | 2020-10-02 |
| 1407453418 | Benjamin Lewis | Physical Medicine & Rehabilitation | 2359 N Triphammer Rd, Ithaca, NY 14850-1059 | 2020-10-02 |
| 1932157955 | Physiatry & Rehabilitation Medicine, PC | Physical Medicine & Rehabilitation | 201 Dates Drive, Suite 201, Ithaca, NY 14850 | 2006-05-04 |
| 1326021023 | Andrew J. Morpurgo | Physical Medicine & Rehabilitation | 201 Dates Dr, Suite 201, Ithaca, NY 14850-1345 | 2005-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972719 | Port Washington Medical Rehabilitation | Physical Medicine & Rehabilitation | 41 Corchaug Ave, Port Washington, NY 11050-2019 | 2020-11-05 |
| 1982202313 | Harvey Levitan | Physical Medicine & Rehabilitation | 301 E 79th St Apt 28n, New York, NY 10075-0947 | 2020-10-16 |
| 1205442266 | Bay Ridge Community Physical Therapy | Physical Medicine & Rehabilitation | 6806 5th Ave, Brooklyn, NY 11220-6010 | 2020-09-16 |
| 1669086369 | Alexandra Ortiz | Physical Medicine & Rehabilitation | 263 Commerce St, Hawthorne, NY 10532-2040 | 2020-09-01 |
| 1679181572 | Peter Singer | Physical Medicine & Rehabilitation | 175 Helene St, Islip Terrace, NY 11752-1128 | 2020-07-16 |
| 1184242588 | Dina Dicicco Murray | Physical Medicine & Rehabilitation | 119 New Hampshire Ave, Massapequa, NY 11758-3917 | 2020-07-12 |
| 1831715978 | Kevin Melrick Medenilla Serrano | Physical Medicine & Rehabilitation | New Paltz Center for Rehabilitation and Nursing, 1 Jansen Road, New Paltz, NY 12561 | 2020-06-24 |
| 1457976946 | Karem Jeffrey Casino | Physical Medicine & Rehabilitation | 4313 Judge St Apt 3r, Elmhurst, NY 11373-3477 | 2020-06-10 |
| 1720608151 | Progressive Medical Fitness PC | Physical Medicine & Rehabilitation | 389 Fort Salonga Rd Ste 2, Northport, NY 11768-3089 | 2020-04-27 |
| 1255951075 | Connect Physical Therapy Nyc | Physical Medicine & Rehabilitation | 2761 Decatur Ave Apt 5a, Bronx, NY 10458-3753 | 2020-04-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. MELISSA W THIBAULT.
| 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.