Individual provider Active NPI

Melanie Tomerlin

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1295225993
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1304823 Issued in TX
Practice address
3303 Rogers Rd Ste 220
San Antonio, TX 78251-3688
Phone
(210) 585-4270
NPI assigned
May 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1304823 TX Primary

Addresses

Primary practice location

3303 Rogers Rd Ste 220
San Antonio, TX 78251-3688

Mailing address

12508 Jones Maltsberger Rd Ste 110
San Antonio, TX 78247-4215
Phone (888) 590-4002

Other names 1

  • Melanie Bass Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180709003229 TX Practitioner - Physical Therapist in Private Practice 8628324498 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Medicine Associates of San Antonio PAGroup PAC ID 3274525548, 55 clinicians
Texas Physical Therapy Specialists, IncGroup PAC ID 2567422538, 238 clinicians

Practice addresses (Care Compare)

21 Spurs LN
Suite 340
San Antonio, TX 78240-1680
Phone (210) 798-8585

3303 Rogers Rd
Suite 220
San Antonio, TX 78251-3688
Phone (210) 585-4270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine Associates of San Antonio, PA CurrentSince Jul 1, 2020 Accepting new patients
Texas Physical Therapy Specialists CurrentSince May 17, 2018 Accepting new patients
Sports Medicine Associates of San Antonio, PA Physical Therapist CurrentSince Jul 1, 2020 Accepting new patients
Texas Physical Therapy Specialists, Inc. Physical Therapist CurrentSince May 17, 2018 Accepting new patients
Sports Medicine Associates of San Antonio, PA Physical Therapist Past Accepting new patients

Locations

11150 Research Blvd
Ste 212
Austin, TX 78759
Phone (512) 794-8863

1789 S Bagdad Rd
Ste 102
Leander, TX 78641
Phone (512) 337-8970

12500 Judson Rd
Ste 201
Live Oak, TX 78233
Phone (210) 314-1071

12413 Judson Rd
Ste 100
Live Oak, TX 78233
Phone (210) 654-0030

7505 N Loop 1604 E
Ste 101
Live Oak, TX 78233
Phone (210) 590-4000

1324 E Common St
Ste 307
New Braunfels, TX 78130
Phone (830) 625-7310

21 Spurs Ln
Ste 340
San Antonio, TX 78240
Phone (210) 590-4000

2803 NE Loop 410
Ste 106
San Antonio, TX 78218
Phone (210) 436-8520

1 Camino Santa Maria St
San Antonio, TX 78228
Phone (210) 431-5043

12508 Jones Maltsberger Rd
Ste 110
San Antonio, TX 78247

430 W Sunset Rd
Ste 440
San Antonio, TX 78209

1973 NW Loop 410
Ste 102
San Antonio, TX 78213
Phone (210) 812-3827

21 Spurs Ln
Ste 300
San Antonio, TX 78240
Phone (210) 561-7137

3303 Rogers Rd
Ste 220
San Antonio, TX 78251
Phone (210) 585-4270

Organizations & group practices 5

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": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1295225993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12508 JONES MALTSBERGER RD STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474215",
            "telephone_number": "888-590-4002",
            "fax_number": "210-590-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 ROGERS RD STE 220",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513688",
            "telephone_number": "210-585-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMERLIN",
        "first_name": "MELANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1304823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "BASS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.