Active NPI
Melissa Faith Houts, PT
- Physical Therapist
- Larkspur, CA
National Provider Identifier
1255452769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10896
- Practice address
- 1 Larkspur Plaza Dr
Larkspur, CA 94939-1471 - Phone
- (415) 461-7528
- Fax
- (415) 461-7527
- NPI assigned
- Apr 2, 2007
- 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 | 10896 | CA | Primary |
Addresses
Primary practice location
1 Larkspur Plaza Dr
Larkspur, CA 94939-1471
Mailing address
2 Laderman LN
Greenbrae, CA 94904-2475
Phone (415) 461-7528
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10886 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion Kregeloh | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255452769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 LADERMAN LN",
"city": "GREENBRAE",
"state": "CA",
"postal_code": "949042475",
"telephone_number": "415-461-7528",
"fax_number": "415-461-7527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LARKSPUR PLAZA DR",
"city": "LARKSPUR",
"state": "CA",
"postal_code": "949391471",
"telephone_number": "415-461-7528",
"fax_number": "415-461-7527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUTS",
"first_name": "MELISSA",
"middle_name": "FAITH",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "10896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Larkspur, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.