Active NPI
Melissa Marie Wims, PT, DPT
- Physical Therapist
- Stevenson Ranch, CA
National Provider Identifier
1669021416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 298445
- Practice address
- 26742 Kendall LN
Stevenson Ranch, CA 91381-1457 - Phone
- (661) 904-3726
- NPI assigned
- Sep 4, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1322909 | TX | |
| Physical Therapist | 225100000X | 298445 | CA | Primary |
Addresses
Primary practice location
26742 Kendall LN
Stevenson Ranch, CA 91381-1457
Mailing address
26742 Kendall LN
Stevenson Ranch, CA 91381-1457
Phone (661) 904-3726
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 |
|---|---|---|---|
| 298445 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1669021416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26742 KENDALL LN",
"city": "STEVENSON RANCH",
"state": "CA",
"postal_code": "913811457",
"telephone_number": "661-904-3726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26742 KENDALL LN",
"city": "STEVENSON RANCH",
"state": "CA",
"postal_code": "913811457",
"telephone_number": "661-904-3726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIMS",
"first_name": "MELISSA",
"middle_name": "MARIE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-04",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1322909",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "298445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stevenson Ranch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.