Active NPI
Melissa Marie Dooley, PT,DPT,ATC
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1538715362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 297156
- Practice address
- 5901 W Olympic Blvd Ste 407
Los Angeles, CA 90036-4669 - Phone
- (323) 917-5194
- Fax
- (323) 917-5196
- NPI assigned
- Aug 16, 2019
- Last updated
- Aug 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 297156 | CA | Primary |
Addresses
Primary practice location
5901 W Olympic Blvd Ste 407
Los Angeles, CA 90036-4669
Mailing address
635 S Hobart Blvd Apt 420
Los Angeles, CA 90005-5508
Phone (909) 231-5635
Other practice location 1
2010 Huntington Dr Unit C
San Marino, CA 91108-2022
Phone (626) 234-2253
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun & Tran Physical Therapy Apc | Multi-Specialty | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Pasadena, CA
- NPI 1952198046
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565913600000",
"number": "1538715362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 S HOBART BLVD APT 420",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900055508",
"telephone_number": "909-231-5635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 W OLYMPIC BLVD STE 407",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900364669",
"telephone_number": "323-917-5194",
"fax_number": "323-917-5196"
}
],
"practiceLocations": [
{
"address_1": "2010 Huntington Dr Unit C",
"address_purpose": "LOCATION",
"city": "San Marino",
"state": "CA",
"postal_code": "911082022",
"country_code": "US",
"telephone_number": "626-234-2253",
"fax_number": "626-234-2192",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOOLEY",
"first_name": "MELISSA",
"middle_name": "MARIE",
"credential": "PT,DPT,ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-16",
"last_updated": "2019-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "297156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.