Individual provider Active NPI

Melissa Nepomuceno, DPT

  • Physical Therapist
  • Sherman Oaks, CA
National Provider Identifier
1043080351
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
305457 Issued in CA
Practice address
15250 Ventura Blvd Ste 300
Sherman Oaks, CA 91403-3214
Phone
(818) 990-0267
NPI assigned
Jan 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 305457 CA Primary

Addresses

Primary practice location

15250 Ventura Blvd Ste 300
Sherman Oaks, CA 91403-3214

Mailing address

14140 Moorpark St Apt 409
Sherman Oaks, CA 91423-2798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240222001384 CA Practitioner - Physical Therapist in Private Practice 3274977848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bechtel Physical Therapy IncGroup PAC ID 4880049816, 8 clinicians

Practice addresses (Care Compare)

15250 Ventura Blvd
Suite 300
Sherman Oaks, CA 91403-3214
Phone (818) 990-0267

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
305457CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bechtel Physical Therapy Inc Physical Therapist CurrentSince Feb 5, 2024 Accepting new patients

Locations

15250 Ventura Blvd
Ste 300
Sherman Oaks, CA 91403
Phone (818) 990-0267

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1043080351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14140 MOORPARK ST APT 409",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15250 VENTURA BLVD STE 300",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033214",
            "telephone_number": "818-990-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEPOMUCENO",
        "first_name": "MELISSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.