Active NPI
Melissa Rosenthal, M.S., P.T.
- Pediatric Physical Therapist
- Camarillo, CA
National Provider Identifier
1245601236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT23514
- Practice address
- 575 Willow Glen CT
Camarillo, CA 93012-7841 - Phone
- (805) 890-6349
- NPI assigned
- Oct 15, 2015
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT23514 | CA | Primary |
Addresses
Primary practice location
575 Willow Glen CT
Camarillo, CA 93012-7841
Mailing address
575 Willow Glen CT
Camarillo, CA 93012-7841
Phone (805) 890-6349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT23514 | CA | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444867200000",
"number": "1245601236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 WILLOW GLEN CT",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930127841",
"telephone_number": "805-890-6349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 WILLOW GLEN CT",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930127841",
"telephone_number": "805-890-6349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENTHAL",
"first_name": "MELISSA",
"credential": "M.S., P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-15",
"last_updated": "2015-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CA",
"license": "PT23514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.