Annique Noelle Melese, PT, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT39922 Issued in CA

Practice address

11468 Sorrento Valley Rd Ste a
San Diego, CA 92121-1347

Phone

(858) 457-3545

Fax

(858) 457-0976

NPI assigned

Mar 14, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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.

• Bryan Schmidt Physical Therapy, Inc

  • Sports Physical Therapist
  • La Jolla, CA
  • NPI 1477582542
  NPD (past)
• Kathleen J. Grace RPT Apc

  • Surgical Physician Assistant
  • San Diego, CA
  • NPI 1740201730

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1427399591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11468 SORRENTO VALLEY RD",
            "address_2": "STE. A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211347",
            "telephone_number": "650-906-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11468 SORRENTO VALLEY RD STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211347",
            "telephone_number": "858-457-3545",
            "fax_number": "858-457-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELESE",
        "first_name": "ANNIQUE",
        "middle_name": "NOELLE",
        "name_prefix": "Ms.",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-14",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39922",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT39922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Melendrez, RD
• Michelle Melendrez, MS, RD, CNSC
• Yuritzy Melendrez
• Chelsea Melero
• Patrick Yves Melese-D'Hospital, DVM
• Janice Caudill Melester, PHD
• Hanna Melgar
• Jhoanna Melgar
• Melissa Melgar, MA, BCBA
• Monica Lisette Melgar, M.D.

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.