Active NPI
Melissa Marie De la O
- Orthopedic Physical Therapist
- San Juan Capistrano, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT32233
- Practice address
- 32261 Camino Capistrano
Suite D101
San Juan Capistrano, CA 92675-3746 - Phone
- (949) 429-2155
- Fax
- (949) 429-2151
- NPI assigned
- Nov 7, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT32233 | CA | Primary |
Addresses
Primary practice location
32261 Camino Capistrano
Suite D101
San Juan Capistrano, CA 92675-3746
Mailing address
32261 Camino Capistrano
Suite D101
San Juan Capistrano, CA 92675-3746
Phone (949) 429-2155
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, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
31371 Rancho Viejo Rd
Suite 103
San Juan Capistrano, CA 92675-1848
Phone (949) 429-2155
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT32233 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mesisca Physical Therapy Inc | Orthopedic | Current | Accepting new patients |
| Spine and Sport Physical Therapy, Inc | Orthopedic | Current | Accepting new patients |
| JM Physical Therapy Inc | Orthopedic | Past | Accepting new patients |
Locations
30025 Alicia Pkwy
Laguna Niguel, CA 92677
Phone (714) 231-0169
32261 Camino Capistrano
Ste D101
San Juan Capistrano, CA 92675
Phone (949) 429-2155
31371 Rancho Viejo Rd
Ste 103
San Juan Capo, CA 92675
Phone (949) 218-2700
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.
-
- Physical Therapist
- San Juan Capistrano, CA
- NPI 1033142013
Orthopedic
-
- Geriatric Physical Therapist
- Laguna Niguel, CA
- NPI 1821104472
Orthopedic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380844800000",
"number": "1164602124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32261 CAMINO CAPISTRANO",
"address_2": "SUITE D101",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926753746",
"telephone_number": "949-429-2155",
"fax_number": "949-429-2151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32261 CAMINO CAPISTRANO",
"address_2": "SUITE D101",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926753746",
"telephone_number": "949-429-2155",
"fax_number": "949-429-2151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA O",
"first_name": "MELISSA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-07",
"last_updated": "2013-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT32233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan Capistrano, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.