Individual provider Active NPI

Melissa Jacka, PT

  • Physical Therapist
  • Encinitas, CA
National Provider Identifier
1275696593
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
33482 Issued in CA
Practice address
285 N El Camino Real Ste 105
Encinitas, CA 92024-5384
Phone
(844) 316-7979
Fax
(866) 813-1235
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1103647 KS
Physical Therapist 225100000X 33482 CA Primary

Addresses

Primary practice location

285 N El Camino Real Ste 105
Encinitas, CA 92024-5384

Mailing address

7525 Metropolitan Dr Ste 306
San Diego, CA 92108-4404
Phone (844) 316-7979

Other practice location 1

11838 Bernardo Plaza Ct Ste 101
San Diego, CA 92128-2414
Phone (844) 316-7979

Other practice location 2

405 N Twin Oaks Valley Rd Ste 111
San Marcos, CA 92069-2954
Phone (844) 316-7979

Other practice location 3

6215 Ferris Sq Ste 140
San Diego, CA 92121-3279
Phone (844) 316-7979

Other practice location 4

8866 Navajo Rd
San Diego, CA 92119-2100
Phone (844) 316-7979

Other practice location 5

7525 Metropolitan Dr Ste 306
San Diego, CA 92108-4404
Phone (844) 316-7979

Other practice location 6

2318 Proctor Valley Rd Ste 107
Chula Vista, CA 91914-6000
Phone (844) 316-7979

Other practice location 7

12865 Pointe Del Mar Way Ste 190
Del Mar, CA 92014-3860
Phone (844) 316-7979

Other practice location 8

1828 Oceanside Blvd
Oceanside, CA 92054-3452
Phone (844) 316-7979

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address his@spinezone.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180514001310 CA Practitioner - Physical Therapist in Private Practice 7517221856 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Life Physical Therapy Services PCGroup PAC ID 7214207125, 94 clinicians

Practice addresses (Care Compare)

4000 Mission Ave
Oceanside, CA 92057-6402
Phone (760) 531-2299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1103647KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Physical Therapy Services, PC Physical Therapist CurrentSince Aug 4, 2024 Accepting new patients
Tri-City Orthopaedic Surgery Medical Group Inc Physical Therapist CurrentSince Aug 30, 2019 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Oct 19, 2023 Accepting new patients
Tri City Orthopaedic Surgery Medical Group Inc CurrentSince Aug 30, 2019 Accepting new patients
Spinezone Medical Fitness, Inc. Physical Therapist PastSince Nov 3, 2019 Accepting new patients
Livara Health Medical Group NJ, PC Physical Therapist Past Accepting new patients
Spinezone Medical Fitness, Inc. Physical Therapist PastSince Nov 27, 2023 Accepting new patients
New Life Healthcare, LLC Past Accepting new patients
Spinezone Medical Fitness, Inc. Physical Therapist PastSince Sep 28, 2021 Accepting new patients
Spinezone Medical Fitness, Inc. Physical Therapist PastSince Jan 26, 2022 Accepting new patients

Locations

351 Santa Fe Dr
Ste 100
Encinitas, CA 92024
Phone (760) 633-3130

7020 Manzanita St
La Costa, CA 92011
Phone (424) 313-5988

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

3905 Waring Rd
Oceanside, CA 92056
Phone (760) 477-1350

12515 Springhurst Dr
San Diego, CA 92128
Phone (858) 771-3694

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1275696593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 METROPOLITAN DR STE 306",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084404",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 N EL CAMINO REAL STE 105",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245384",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11838 Bernardo Plaza Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921282414",
            "country_code": "US",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 N Twin Oaks Valley Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920692954",
            "country_code": "US",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6215 Ferris Sq Ste 140",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921213279",
            "country_code": "US",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8866 Navajo Rd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921192100",
            "country_code": "US",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7525 Metropolitan Dr Ste 306",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921084404",
            "country_code": "US",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2318 Proctor Valley Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919146000",
            "country_code": "US",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12865 Pointe Del Mar Way Ste 190",
            "address_purpose": "LOCATION",
            "city": "Del Mar",
            "state": "CA",
            "postal_code": "920143860",
            "country_code": "US",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1828 Oceanside Blvd",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920543452",
            "country_code": "US",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKA",
        "first_name": "MELISSA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1103647",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "his@spinezone.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7525 Metropolitan Dr Ste 306",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921084404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.

Verify at the official NPI Registry.