Individual provider Active NPI

Melissa McBride

  • Physical Therapist
  • Fair Oaks, CA
National Provider Identifier
1295478618
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5525 Dewey Dr Ste 202
Fair Oaks, CA 95628-3131
Phone
(916) 536-9130
NPI assigned
Apr 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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 Primary

Addresses

Primary practice location

5525 Dewey Dr Ste 202
Fair Oaks, CA 95628-3131

Mailing address

3760 Convoy St Ste 101
San Diego, CA 92111-3743
Phone (888) 208-8526

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220502002217 CA Practitioner - Physical Therapist in Private Practice 9335536820 Reassigns benefits to 3 organizations

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
Mac Performance Physical Therapy IncGroup PAC ID 7810365608, 15 clinicians

Practice addresses (Care Compare)

3727 Bradview Dr
Suite 100
Sacramento, CA 95827-9746
Phone (916) 572-6162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Dynamic Physical Therapy Inc. Physical Therapist CurrentSince Nov 14, 2022 Accepting new patients
Swanson Schaack Physical Therapy Physical Therapist CurrentSince Feb 26, 2024 Accepting new patients
Mac Performance Physical Therapy Inc Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Schaack Physical Therapy PC Physical Therapist CurrentSince Feb 26, 2024 Accepting new patients
Results Physical Therapy and Training Center Inc. Physical Therapist Past Accepting new patients

Locations

691 E Bidwell St
Folsom, CA 95630
Phone (916) 572-6162

111 Woodmere Rd
Ste 270
Folsom, CA 95630

6955 Douglas Blvd
Granite Bay, CA 95746
Phone (916) 318-6964

6910 Douglas Blvd
Ste D
Granite Bay, CA 95746
Phone (916) 318-6964

801 Sterling Pkwy
Ste 150
Lincoln, CA 95648
Phone (916) 543-7900

1620 Lead Hill Blvd
Ste 200
Roseville, CA 95661
Phone (916) 789-1111

3727 Bradview Dr
Ste 100
Sacramento, CA 95827
Phone (916) 572-6162

3727 Bradview Dr
Sacramento, CA 95827
Phone (916) 362-7962

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": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1295478618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 CONVOY ST STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113743",
            "telephone_number": "888-208-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 DEWEY DR STE 202",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283131",
            "telephone_number": "916-536-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.