Active NPI
Melissa Lynn Johnson, PT
- Physical Therapist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 4435 Eastgate Mall Ste 120
San Diego, CA 92121-1980 - Phone
- (858) 529-5898
- NPI assigned
- Dec 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CA | Primary |
Addresses
Primary practice location
4435 Eastgate Mall Ste 120
San Diego, CA 92121-1980
Mailing address
1550 S Juniper St Apt 18
Escondido, CA 92025-5843
Phone (619) 838-6108
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4435 Eastgate Mall
Suite 120
San Diego, CA 92121-1980
Phone (858) 587-8669
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eggleton & Langton Physical Therapy Management Services | Physical Therapist | Current | Accepting new patients |
| Eggleton & Langton Physical Therapy Management Services | Physical Therapist | Current | Accepting new patients |
Locations
2035 Corte del Nogal
Ste 200
Carlsbad, CA 92011
Phone (760) 931-8310
4435 Eastgate Mall
Ste 120
San Diego, CA 92121
Phone (858) 578-8669
10225 Austin Dr
Ste 204
Spring Valley, CA 91978
Phone (619) 670-4567
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Escondido, CA
- NPI 1972229805
Physical Therapist
-
- Physical Therapist
- San Diego, CA
- NPI 1952348674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1245998103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 S JUNIPER ST APT 18",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920255843",
"telephone_number": "619-838-6108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4435 EASTGATE MALL STE 120",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211980",
"telephone_number": "858-529-5898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MELISSA",
"middle_name": "LYNN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-07",
"last_updated": "2021-12-07",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.