Active NPI
Theresa Angela Rincon Melhorn, PT
- Physical Therapist
- San Diego, CA
National Provider Identifier
1386923316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 17914
- Practice address
- 9089 Clairemont Mesa Blvd Ste 200
San Diego, CA 92123-1225 - Phone
- (800) 787-6762
- NPI assigned
- Aug 8, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 17914 | CA | Primary |
| Orthopedic Physical Therapist | 2251X0800X | PT17914 | CA |
Addresses
Primary practice location
9089 Clairemont Mesa Blvd Ste 200
San Diego, CA 92123-1225
Mailing address
1237 Fallbrook CT
Bonita, CA 91902-2537
Phone (619) 787-1024
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 17914 | CA | MD | Physical Therapist |
| PT17914 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bewell Home Physical Therapy P C | Current | Accepting new patients |
Locations
1582 W San Marcos Blvd
Ste 105B
San Marcos, CA 92078
Phone (650) 452-4110
Organizations & group practices 1
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 Marcos, CA
- NPI 1831582592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312761600000",
"number": "1386923316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1237 FALLBROOK CT",
"city": "BONITA",
"state": "CA",
"postal_code": "919022537",
"telephone_number": "619-787-1024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9089 CLAIREMONT MESA BLVD STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231225",
"telephone_number": "800-787-6762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RINCON MELHORN",
"first_name": "THERESA",
"middle_name": "ANGELA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-08",
"last_updated": "2011-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 17914",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT17914",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.