Melinda S Pugh, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA49207 Issued in CA

Practice address

1700 E Bullard Ave Ste 102
Fresno, CA 93710-5866

Phone

(559) 438-8531

NPI assigned

Mar 28, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• McGuire Physical Therapy, Inc.

  • Sports Physical Therapist
  • Fresno, CA
  • NPI 1699860353
  NPD (past)

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1386149631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E BULLARD AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105866",
            "telephone_number": "559-438-8531",
            "fax_number": "559-438-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E BULLARD AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105866",
            "telephone_number": "559-438-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH",
        "first_name": "MELINDA",
        "middle_name": "S",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PTA49207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
            "identifier": "PTA49207",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diego Puentes, DO
• Jordyne R Puentes
• Rosanna Puentes
• Arselia Puga
• Gerardo Puga, M.A., LMFT
• Ivance E Pugoy, M.D.
• Pulmonic Health, LLC
• Pulsar Research TQ Lab LLC
• Audrey F Punnett, PHD
• Alicia Hernandez Punsalan

• Physical Therapy Assistant in Fresno, CA
• Providers in Fresno, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.