Melanie Leann Willard, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

41512 Issued in CA

Practice address

7850 Mission Center CT
Suite 100
San Diego, CA 92108-1322

Phone

(619) 578-2232

NPI assigned

Aug 27, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Addie's Autism Fitt

  • Developmentally Disabled Services Day Training Agency
  • San Diego, CA
  • NPI 1992256804
  NPD (past)
• Addie's Autismfitt Club

  • Speech-Language Pathologist
  • San Diego, CA
  • NPI 1598124612
  NPD (past)

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1669872586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3026 RANCHO DEL CANON",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920092209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 MISSION CENTER CT",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081322",
            "telephone_number": "619-578-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLARD",
        "first_name": "MELANIE",
        "middle_name": "LEANN",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "41512",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1230116",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Will
• Willard Fisher, DDS, Inc. (Town Center Dentistry)
• Julie Anne Willard, M.D.
• Kimberly Willard, MD
• Laura Elisabeth Willard, PSY.D.
• Natalie S. Willard
• Bryan Jacob Willbanks, IDC
• Aaron Michael Willcott, MSPAS, PA-C
• Drita Willcox
• Florentina Willcoxson

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.