Active NPI
Melanie Wheeler Connell, MPT, MTC
- Physical Therapist
- Costa Mesa, CA
National Provider Identifier
1124244769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 37253
- Practice address
- 1700 Adams Ave Ste 201
Costa Mesa, CA 92626-4865 - Phone
- (714) 556-1600
- Fax
- (714) 556-3737
- NPI assigned
- Apr 18, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 37253 | CA | Primary |
| Physical Therapist | 225100000X | 19488 | FL |
Addresses
Primary practice location
1700 Adams Ave Ste 201
Costa Mesa, CA 92626-4865
Mailing address
17332 Von Karman Ave
Ste 120
Irvine, CA 92614-6282
Phone (949) 861-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37253 | CA | MD | Physical Therapist |
| 19488 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhodes Physical Therapy of Ca Apc | Physical Therapist | Current | Accepting new patients |
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Myles Rubin Samotin MD PA | Past | Accepting new patients | |
| Well Body Clinic Inc | Physical Therapist | Past | Accepting new patients |
| Absolute Physical Therapy of Southwest Florida LLC | Physical Therapist | Past | Accepting new patients |
Locations
1700 Adams Ave
Ste 201
Costa Mesa, CA 92626
Phone (714) 556-1600
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108
Organizations & group practices 5
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.
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
- Physical Therapist
- Costa Mesa, CA
- NPI 1528944915
-
- Physical Therapist
- Bonita Springs, FL
- NPI 1952492993
-
- Orthopaedic Foot and Ankle Surgery Physician
- Bonita Springs, FL
- NPI 1730222662
-
- Physical Therapist
- Bradenton, FL
- NPI 1225143738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463616000000",
"number": "1124244769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17332 VON KARMAN AVE",
"address_2": "STE 120",
"city": "IRVINE",
"state": "CA",
"postal_code": "926146282",
"telephone_number": "949-861-8600",
"fax_number": "949-861-8601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 ADAMS AVE STE 201",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926264865",
"telephone_number": "714-556-1600",
"fax_number": "714-556-3737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNELL",
"first_name": "MELANIE",
"middle_name": "WHEELER",
"credential": "MPT, MTC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2016-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "37253",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "19488",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
- Ynnafranchesca Pango Comodero
- Competent Care Home Health Nursing
- Competent Caregiving
- Complete Spine and Wellness Group, Inc
- Annette Conde, BCBA
- Connor Upper Cervical Chiro of So Cal
- Connor Upper Cervical Chiropractic of Southern California
- Kenneth Joseph Connor, D.C.
- Nicholas Conroy
- Consumerhealth, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.