Individual provider Active NPI

Melissa A. McKnight, MPT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1083706451
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 27654 Issued in CA
Practice address
6080 Center Dr FL 6
Los Angeles, CA 90045-9205
Phone
(888) 859-0145
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5519 OR
Physical Therapist 225100000X PT 27654 CA Primary

Addresses

Primary practice location

6080 Center Dr FL 6
Los Angeles, CA 90045-9205

Mailing address

12842 Olive St
Garden Grove, CA 92845-2633
Phone (541) 844-4381

Other practice location 1

3662 Katella Ave
Los Alamitos, CA 90720-3124
Phone (562) 799-4494

Other identifiers 2

IdentifierTypeStateIssuer
241565MedicaidOR
PENDINGOtherCAPALMETTO GBA

Other names 1

  • Melissa A. Carey Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031204000505 CA Practitioner - Physical Therapist in Private Practice 6002711967 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Functional Rehabilitation Physical Therapy PCGroup PAC ID 0941604417, 6 clinicians
Kulagy Physical Therapy PCGroup PAC ID 9638459621, 17 clinicians
Change Sports Physical Therapy InstituteGroup PAC ID 5395870786, 4 clinicians

Practice addresses (Care Compare)

3300 E S St
Suite 203
Lakewood, CA 90805-4589
Phone (562) 303-6366

6060 Ctr Dr
FL 10
Los Angeles, CA 90045-1598
Phone (888) 859-0145

7172 Edinger Ave
Huntington Beach, CA 92647-3505
Phone (714) 902-9349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5519ORMDChiropractor
PT 27654CAMDPhysical Therapist
27654CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
CPRX, Incorporated Physical Therapist CurrentSince Aug 16, 2021 Accepting new patients
Change Sports Physical Therapy Institute Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
Hayashida & Associates Physical Therapy, Inc. Physical Therapist PastSince Feb 1, 2016 Accepting new patients
Sansum Clinic Past Accepting new patients

Locations

6082 Edinger Ave
Ste 100
Huntington Beach, CA 92647
Phone (714) 840-1505

7172 Edinger Ave
Huntington Beach, CA 92647
Phone (714) 902-9349

3662 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-4494

3662 Katella Ave
Ste 105
Los Alamitos, CA 90720
Phone (562) 799-4494

Organizations & group practices 6

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1083706451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12842 OLIVE ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928452633",
            "telephone_number": "541-844-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 CENTER DR FL 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900459205",
            "telephone_number": "888-859-0145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3662 Katella Ave",
            "address_purpose": "LOCATION",
            "city": "Los Alamitos",
            "state": "CA",
            "postal_code": "907203124",
            "country_code": "US",
            "telephone_number": "562-799-4494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKNIGHT",
        "first_name": "MELISSA",
        "middle_name": "A.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5519",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 27654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241565",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "PENDING",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "CAREY",
            "middle_name": "A.",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.