Active NPI
Melissa Tamayo
- Physical Therapy Assistant
- Lodi, CA
National Provider Identifier
1083920284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 4414
- Practice address
- 1510 S Mills Ave Apt 209
Lodi, CA 95242-4239 - Phone
- (209) 986-3585
- NPI assigned
- Aug 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 4414 | CA | Primary |
Addresses
Primary practice location
1510 S Mills Ave Apt 209
Lodi, CA 95242-4239
Mailing address
1510 S Mills Ave Apt 209
Lodi, CA 95242-4239
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282694400000",
"number": "1083920284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 S MILLS AVE APT 209",
"city": "LODI",
"state": "CA",
"postal_code": "952424239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 S MILLS AVE APT 209",
"city": "LODI",
"state": "CA",
"postal_code": "952424239",
"telephone_number": "209-986-3585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMAYO",
"first_name": "MELISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-25",
"last_updated": "2010-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "4414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lodi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.