Individual provider Active NPI

Melica Gianne Lee, PHSICAL THERAPIST

  • Physical Therapist
  • Campbell, CA
National Provider Identifier
1619872801
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
310944 Issued in CA
Practice address
238 Virginia Ave
Campbell, CA 95008-3908
Phone
(408) 379-8114
Fax
(408) 379-0659
NPI assigned
Oct 9, 2026
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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 310944 CA Primary

Addresses

Primary practice location

238 Virginia Ave
Campbell, CA 95008-3908

Mailing address

238 Virginia Ave
Campbell, CA 95008-3908
Phone (408) 379-8114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1619872801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 VIRGINIA AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950083908",
            "telephone_number": "408-379-8114",
            "fax_number": "408-379-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 VIRGINIA AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950083908",
            "telephone_number": "408-379-8114",
            "fax_number": "408-379-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MELICA GIANNE",
        "name_prefix": "Mrs.",
        "credential": "PHSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-09",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "310944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.