Individual ProviderMelissa SimpsonPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4208 Retama Cir, Victoria, TX 77901-2765(361) 578-2257PECOS EnrollmentBased on the most recent information from CMS, provider Melissa Simpson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1033831870Provider TypeIndividualFull NameSimpson, MelissaCredentialPTGenderFemaleSole ProprietorYesEnumeration Date9/19/2022Last Updated9/19/2022Contact InformationPractice LocationPractice Address4208 Retama Cir, Victoria, TX 77901-2765Phone(361) 578-2257Fax(361) 578-2260Mailing LocationMailing Address4208 Retama Cir, Victoria, TX 77901-2765Phone(361) 578-2257Fax(361) 578-2260Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1063493TexasProvider IdentifiersIDDescriptionIssuerID1063493DescriptionOtherIssuerECPTOTETexas