Active NPI
Melinda Fontaine, DPT
- Physical Therapist
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 37867
- Practice address
- 2000 Van Ness Ave Ste 603
San Francisco, CA 94109-3016 - Phone
- (415) 440-7600
- Fax
- (415) 440-6803
- NPI assigned
- Oct 24, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 37867 | CA | Primary |
Addresses
Primary practice location
2000 Van Ness Ave Ste 603
San Francisco, CA 94109-3016
Mailing address
2000 Van Ness Ave Ste 603
San Francisco, CA 94109-3016
Phone (415) 440-7600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
130 La Casa Via
Suite 111
Walnut Creek, CA 94598-3082
Phone (925) 954-7982
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37867 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prendergast and Rummer Phys Therapy Pelvic Health & Rehabiliation Ctr | Physical Therapist | Current | Accepting new patients |
| Akincilar and Prendergast, Inc | Physical Therapist | Past | Accepting new patients |
Locations
2855 Telegraph Ave
Ste 301
Berkeley, CA 94705
Phone (510) 922-9836
2000 Van Ness Ave
Ste 603
San Francisco, CA 94109
Phone (415) 440-7600
130 La Casa Via
Ste 111
Walnut Creek, CA 94598
Phone (925) 309-5155
32 Daniel Webster Hwy
Ste 16
Merrimack, NH 03054
Phone (603) 589-9184
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- San Francisco, CA
- NPI 1205112174
Physical Therapist
-
- Physical Therapy Clinic/Center
- Lexington, MA
- NPI 1801288824
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319414400000",
"number": "1316223282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 VAN NESS AVE STE 603",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941093016",
"telephone_number": "415-440-7600",
"fax_number": "415-440-6803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 VAN NESS AVE STE 603",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941093016",
"telephone_number": "415-440-7600",
"fax_number": "415-440-6803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTAINE",
"first_name": "MELINDA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-24",
"last_updated": "2011-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "37867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.