Individual provider Active NPI

Melanie Molina, DPT

  • Physical Therapist
  • Rancho Cucamonga, CA
National Provider Identifier
1417826447
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
308563 Issued in CA
Practice address
9660 Haven Ave
Rancho Cucamonga, CA 91730-5896
Phone
(909) 296-5127
Fax
(909) 296-5129
NPI assigned
Oct 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 308563 CA Primary

Addresses

Primary practice location

9660 Haven Ave
Rancho Cucamonga, CA 91730-5896

Mailing address

1414 E Puente St
Covina, CA 91724-3214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251120003342 CA Practitioner - Physical Therapist in Private Practice 1658863303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairbanks and Power Physical Therapy CorpGroup PAC ID 6406843481, 53 clinicians

Practice addresses (Care Compare)

9660 Haven Ave
Suite 130
Rancho Cucamonga, CA 91730-5897
Phone (909) 296-5127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
308563CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairbanks & Power Physical Therapy Corp. Physical Therapist CurrentSince Sep 19, 2025 Accepting new patients

Locations

949 S State St
Hemet, CA 92543
Phone (951) 929-9890

2 Peters Canyon Rd
Ste 100
Irvine, CA 92606
Phone (949) 679-3988

9660 Haven Ave
Ste 130
Rancho Cucamonga, CA 91730
Phone (909) 269-5127

1392 W 7th St
Ste A
Upland, CA 91786
Phone (909) 256-3762

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": "1761696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1417826447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 E PUENTE ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9660 HAVEN AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305896",
            "telephone_number": "909-296-5127",
            "fax_number": "909-296-5129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "MELANIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-29",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "308563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.

Verify at the official NPI Registry.