Active NPI
Mellodie Barnes, PTA
- Physical Therapy Assistant
- Pleasanton, CA
National Provider Identifier
1346445889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- AT8270
- Practice address
- 5980 Stoneridge Dr Ste 100
Pleasanton, CA 94588-2723 - Phone
- (925) 847-8833
- NPI assigned
- Jun 15, 2007
- 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 Therapy Assistant | 225200000X | AT8270 | CA | Primary |
Addresses
Primary practice location
5980 Stoneridge Dr Ste 100
Pleasanton, CA 94588-2723
Mailing address
24091 Madeiros Ave
Hayward, CA 94541-4462
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AT8270 | Other | CA | PTA LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT8270 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346445889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24091 MADEIROS AVE",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945414462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5980 STONERIDGE DR STE 100",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945882723",
"telephone_number": "925-847-8833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "MELLODIE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "AT8270",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTA LICENSE",
"identifier": "AT8270",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.