Individual provider Active NPI

Melanie Wilkins, PT

  • Physical Therapist
  • Fresno, CA
National Provider Identifier
1306188420
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39713 Issued in CA
Practice address
7575 N First St Suite 106
Fresno, CA 93720-2977
Phone
(559) 439-8151
Fax
(559) 439-8154
NPI assigned
Mar 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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 PT39713 CA Primary

Addresses

Primary practice location

7575 N First St Suite 106
Fresno, CA 93720-2977

Mailing address

3646 W Cottonwood LN
Fresno, CA 93711-5919
Phone (559) 439-8151

Other identifiers 1

IdentifierTypeStateIssuer
PT39713OtherCASTATE OF CALIFORNIA PHYSICAL THERAPY LICENCE

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

LicenseStateTypeSpecialty
PT39713CAMDPhysical Therapist
39713CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1306188420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3646 W COTTONWOOD LN",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115919",
            "telephone_number": "559-439-8151",
            "fax_number": "559-439-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 N FIRST ST SUITE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202977",
            "telephone_number": "559-439-8151",
            "fax_number": "559-439-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "MELANIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT39713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA PHYSICAL THERAPY LICENCE",
            "identifier": "PT39713",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.