Melissa Eve Gordon-Wollin, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT301757 Issued in CA

Practice address

3230 E. Imperial Hwy
Suite 100
Brea, CA 92821-6735

Phone

(714) 988-8110

NPI assigned

Mar 15, 2022

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coury and Buehler Physical Therapy Inc.Group PAC ID 8224924261, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Coury & Buehler Physical Therapy, Inc.

  • Physical Therapist
  • Anaheim, CA
  • NPI 1891960258
  Medicare reassignment Care Compare group NPD
• Coury & Buehler Physical Therapy - Irvine, Inc.

  • Physical Therapy Clinic/Center
  • Irvine, CA
  • NPI 1477822807

  Physical Therapist

  Medicare reassignment NPD
• Coury & Buehler Physical Therapy - Lake Forest, Inc.

  • Physical Therapist
  • Lake Forest, CA
  • NPI 1316342033
  Medicare reassignment NPD
• Coury & Buehler Physical Therapy - Newport, Inc.

  • Physical Therapy Clinic/Center
  • Newport Beach, CA
  • NPI 1508425570

  Physical Therapist

  Medicare reassignment NPD
• Coury & Buehler Physical Therapy - Tustin/Santa Ana, Inc.

  • Physical Therapist
  • Tustin, CA
  • NPI 1215459540
  Medicare reassignment NPD
• Coury & Buehler Physical Therapy - Irvine, Inc.

  • Physical Therapist
  • Irvine, CA
  • NPI 1811655954
  NPD
• Coury & Buehler Physical Therapy, Inc.

  • Physical Therapist
  • Orange, CA
  • NPI 1528144482
  NPD
• Coury & Buehler Physical Therapy, Inc.

  • Physical Therapist
  • Brea, CA
  • NPI 1790709194
  NPD

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1619625944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 E. IMPERIAL HWY",
            "address_2": "SUITE 100",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216735",
            "telephone_number": "714-988-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 E. IMPERIAL HWY",
            "address_2": "SUITE 100",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216735",
            "telephone_number": "714-988-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON-WOLLIN",
        "first_name": "MELISSA",
        "middle_name": "EVE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT301757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annelise Gonzalez
• Karlie Diana Gonzalez
• Sara Lenise Gonzalez
• Sergio Alejandro Gonzalez
• Jody Goodrich, M.F.T.
• Shanelle Joy Gorospe, BA
• Michael Gozar
• Sarah Grabarsky, NP-C
• Adrianne Gracia
• Adriana Graham

• Physical Therapist in Brea, CA
• Providers in Brea, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.