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Misty Melissa Fearon, PT

NPI 1922138148ActiveIndividual· Physical Therapist· Ithaca, NY

Physical Therapist (PT) in Ithaca, New York, licensed in NY and NJ, with an NPI issued in March 2007.

Overview

NPI1922138148
StatusActive
Entity typeIndividual
CredentialPT
Sole proprietorNo
NPI issuedMar 6, 2007
Last updated in NPPESMar 1, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X0180361NY
Physical Therapist225100000X40QA01236800NJ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other physical therapists in Ithaca

All 114 physical therapists in Ithaca · All physical therapists in New York