Individual provider Active NPI

Melanie Lynn Wrench, MPT OCS

  • Physical Therapist
  • Oceanside, CA
National Provider Identifier
1437102308
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6865 Issued in AZ
Practice address
2741 Vista Way
Suite 111
Oceanside, CA 92054-6372
Phone
(760) 757-0222
Fax
(760) 757-0224
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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 6865 AZ Primary

Addresses

Primary practice location

2741 Vista Way
Suite 111
Oceanside, CA 92054-6372

Mailing address

2741 Vista Way
Suite 111
Oceanside, CA 92054-6372
Phone (760) 757-0222

Other identifiers 1

IdentifierTypeStateIssuer
P00413239OtherAZRAILROAD MEDICARE PTAN

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
6865AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brizzie Medical Inc PastSince Jul 26, 2014 Accepting new patients
Thrive Physical Medicine Inc PastSince May 1, 2011 Accepting new patients
Victor J Tomassetti a Professional Chiropractic Corporation Past Accepting new patients

Organizations & group practices 3

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1437102308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 VISTA WAY",
            "address_2": "SUITE 111",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546372",
            "telephone_number": "760-757-0222",
            "fax_number": "760-757-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 VISTA WAY",
            "address_2": "SUITE 111",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546372",
            "telephone_number": "760-757-0222",
            "fax_number": "760-757-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRENCH",
        "first_name": "MELANIE",
        "middle_name": "LYNN",
        "credential": "MPT OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00413239",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.