Active NPI
Melissa Claudette Smith
- Physical Therapist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 307341
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P23077 | Other | NC | PT LICENSE |
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 307341 | CA | MD | Physical Therapist |
| P23077 | NC | MD | Physical Therapist |
| PT032090 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select CS Physical Therapy, P.C. | Current | Accepting new patients | |
| Select CS Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
| Select CS Physical Therapy, P.C. | Physical Therapist | Current | 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
- 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.
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Marina del Rey, CA
- NPI 1043894090
Physical Therapist
-
- Physical Therapy Clinic/Center
- Beverly Hills, CA
- NPI 1275220246
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Santa Monica, CA
- NPI 1487238432
Physical Therapist
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.