Individual provider Active NPI

Melanie Wheeler Connell, MPT, MTC

  • Physical Therapist
  • Costa Mesa, CA
National Provider Identifier
1124244769
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
37253 Issued in CA
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

Updated by the provider on May 19, 2016

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 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

Enrollment IDStateProvider typePAC IDDetails
I20120919000249 CA Practitioner - Physical Therapist in Private Practice 3173612827 Reassigns benefits to 1 organization

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
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

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

LicenseStateTypeSpecialty
37253CAMDPhysical Therapist
19488FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rhodes Physical Therapy of Ca Apc Physical Therapist CurrentSince Aug 17, 2025 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Jun 13, 2023 Accepting new patients
Myles Rubin Samotin MD PA PastSince Nov 6, 2022 Accepting new patients
Well Body Clinic Inc Physical Therapist Past Accepting new patients
Absolute Physical Therapy of Southwest Florida LLC Physical Therapist PastSince Oct 25, 2016 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.

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

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.

Verify at the official NPI Registry.