Individual provider Active NPI

Melanie Silke Wilkerson, PT, DPT

  • Physical Therapist
  • Oceanside, CA
National Provider Identifier
1295586436
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
305743 Issued in CA
Practice address
2420 Vista Way Ste 215
Oceanside, CA 92054-6190
Phone
(442) 220-1426
NPI assigned
Mar 27, 2024
Last updated
Mar 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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 305743 CA Primary

Addresses

Primary practice location

2420 Vista Way Ste 215
Oceanside, CA 92054-6190

Mailing address

1239 Armorlite Dr Apt 202
San Marcos, CA 92069-1430
Phone (248) 794-9993

Other practice location 1

12639 Poway Rd
Poway, CA 92064-4415
Phone (858) 294-1897

Other practice location 2

137 S Las Posas Rd Ste 254
San Marcos, CA 92078-2475
Phone (760) 290-3121

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1295586436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 ARMORLITE DR APT 202",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920691430",
            "telephone_number": "248-794-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 VISTA WAY STE 215",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546190",
            "telephone_number": "442-220-1426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12639 Poway Rd",
            "address_purpose": "LOCATION",
            "city": "Poway",
            "state": "CA",
            "postal_code": "920644415",
            "country_code": "US",
            "telephone_number": "858-294-1897",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "137 S Las Posas Rd Ste 254",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920782475",
            "country_code": "US",
            "telephone_number": "760-290-3121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "MELANIE",
        "middle_name": "SILKE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.