Individual provider Active NPI

Melissa Claudette Smith

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1154188191
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
307341 Issued in CA
Practice address
6801 Park Ter Ste 200
Los Angeles, CA 90045-1546
Phone
(310) 665-7100
Fax
(310) 665-7101
NPI assigned
Mar 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT032090 PA
Physical Therapist 225100000X P23077 NC
Physical Therapist 225100000X 307341 CA Primary

Addresses

Primary practice location

6801 Park Ter Ste 200
Los Angeles, CA 90045-1546

Mailing address

6801 Park Ter Ste 200
Los Angeles, CA 90045-1546
Phone (310) 665-7100

Other practice location 1

2165 Medical Park Dr
Hickory, NC 28602-8809
Phone (828) 324-2800

Other identifiers 1

IdentifierTypeStateIssuer
P23077OtherNCPT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250318000789 CA Practitioner - Physical Therapist in Private Practice 4284156415 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
Select CS Physical Therapy PCGroup PAC ID 1355742081, 177 clinicians

Practice addresses (Care Compare)

6801 Park Ter
Suite 200
Los Angeles, CA 90045-1546
Phone (310) 665-7100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
307341CAMDPhysical Therapist
P23077NCMDPhysical Therapist
PT032090PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select CS Physical Therapy, P.C. CurrentSince Jan 10, 2025 Accepting new patients
Select CS Physical Therapy, P.C. Physical Therapist Current Accepting new patients
Select CS Physical Therapy, P.C. Physical Therapist CurrentSince Jan 10, 2025 Accepting new patients

Locations

6801 Park Ter
Ste 200
Los Angeles, CA 90045
Phone (310) 621-7583

1310 W Stewart Dr
Ste 404
Orange, CA 92868
Phone (714) 707-6466

2001 Wilshire Blvd
Ste 310
Santa Monica, CA 90403
Phone (310) 829-3320

Interoperability endpoints

  • Direct secure messaging: melissa.smith.1@847.direct.athenahealth.com

Organizations & group practices 3

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": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1154188191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 PARK TER STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900451546",
            "telephone_number": "310-665-7100",
            "fax_number": "310-665-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 PARK TER STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900451546",
            "telephone_number": "310-665-7100",
            "fax_number": "310-665-7101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2165 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286028809",
            "country_code": "US",
            "telephone_number": "828-324-2800",
            "fax_number": "828-294-9141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MELISSA",
        "middle_name": "CLAUDETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032090",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23077",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "307341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "P23077",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 4, 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.