Active NPI
Melissa Judnich, DPT
- Physical Therapist
- Indian Wells, CA
National Provider Identifier
1538875810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT303744
- Practice address
- 45250 Club Dr
Indian Wells, CA 92210-8860 - Phone
- (760) 574-2456
- NPI assigned
- Jan 30, 2023
- Sex
- Female
- Sole proprietor
- No
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 | PT303744 | CA | Primary |
Addresses
Primary practice location
45250 Club Dr
Indian Wells, CA 92210-8860
Mailing address
45250 Club Dr
Indian Wells, CA 92210-8860
Phone (760) 574-2456
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT303744 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1538875810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45250 CLUB DR",
"city": "INDIAN WELLS",
"state": "CA",
"postal_code": "922108860",
"telephone_number": "760-574-2456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45250 CLUB DR",
"city": "INDIAN WELLS",
"state": "CA",
"postal_code": "922108860",
"telephone_number": "760-574-2456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDNICH",
"first_name": "MELISSA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-30",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT303744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indian Wells, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.