Individual provider Active NPI

Theresa Angela Rincon Melhorn, PT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1386923316
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 17914 Issued in CA
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

Updated by the provider on Aug 8, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PT 17914CAMDPhysical Therapist
PT17914CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bewell Home Physical Therapy P C CurrentSince Sep 19, 2023 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.

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.

Verify at the official NPI Registry.