Provider Demographics
NPI:1255469615
Name:SEXTON, MELISSA MICHELLE (PT)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:MICHELLE
Last Name:SEXTON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 CENTURY PARK S
Mailing Address - Street 2:SUITE 128
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35226-3943
Mailing Address - Country:US
Mailing Address - Phone:205-823-1215
Mailing Address - Fax:205-822-4999
Practice Address - Street 1:700 CENTURY PARK S
Practice Address - Street 2:SUITE 128
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35226-3943
Practice Address - Country:US
Practice Address - Phone:205-823-1215
Practice Address - Fax:205-822-4999
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH37562251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-27842OtherBCBS PROVIDER NUMBER