Individual provider Active NPI

Melissa Anne Thomas, DPT

  • Physical Therapist
  • Vista, CA
National Provider Identifier
1659612182
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
39980 Issued in CA
Practice address
400 S Melrose Dr Ste 215
Vista, CA 92081-6632
Phone
(760) 509-9901
Fax
(760) 509-9902
NPI assigned
Mar 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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 39980 CA Primary

Addresses

Primary practice location

400 S Melrose Dr Ste 215
Vista, CA 92081-6632

Mailing address

400 S Melrose Dr Ste 215
Vista, CA 92081-6632
Phone (760) 509-9901

Other practice location 1

11500 W Olympic Blvd
Ste 640
Los Angeles, CA 90064-1524
Phone (310) 477-7774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190918002949 CA Practitioner - Physical Therapist in Private Practice 7214267194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5648 Lake Murray Blvd
La Mesa, CA 91942-1929
Phone (619) 464-1352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39980CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Select San Diego Physical Therapy, PC. Current Accepting new patients
Select San Diego Physical Therapy, PC. Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
Select San Diego Physical Therapy, PC. CurrentSince Oct 1, 2022 Accepting new patients

Locations

2060 Otay Lakes Rd
Ste 110
Chula Vista, CA 91913
Phone (619) 373-9222

5648 Lake Murray Blvd
La Mesa, CA 91942
Phone (619) 464-1352

15525 Pomerado Rd
Ste C8
Poway, CA 92064
Phone (858) 674-4263

11515 El Camino Real
Ste 130
San Diego, CA 92130
Phone (858) 793-1460

3218 Governor Dr
San Diego, CA 92122
Phone (858) 453-3000

3939 Ruffin Rd
Ste 103
San Diego, CA 92123
Phone (858) 308-4185

3737 Moraga Ave
Ste B117
San Diego, CA 92117
Phone (858) 270-0981

7625 Mesa College Dr
Ste 101
San Diego, CA 92111
Phone (858) 277-1113

4910 Directors Pl
Ste 370
San Diego, CA 92121
Phone (858) 554-0522

16935 W Bernardo Dr
Ste 180
San Diego, CA 92127
Phone (858) 217-5837

7625 Mesa College Dr
San Diego, CA 92111
Phone (858) 277-1586

1 Civic Center Dr
Ste 360
San Marcos, CA 92069
Phone (760) 653-2429

400 S Melrose Dr
Ste 215
Vista, CA 92081
Phone (760) 509-9901

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1659612182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S MELROSE DR STE 215",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816632",
            "telephone_number": "760-509-9901",
            "fax_number": "760-509-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S MELROSE DR STE 215",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816632",
            "telephone_number": "760-509-9901",
            "fax_number": "760-509-9902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11500 W Olympic Blvd",
            "address_2": "Ste 640",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900641524",
            "country_code": "US",
            "telephone_number": "310-477-7774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-07",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.