Melanie Peddle, M.S., CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

54225 Issued in CA

Practice address

665 Lytton Ave
Palo Alto, CA 94301-1335

Phone

(720) 633-6420

NPI assigned

Oct 20, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1700280724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 CENTRAL AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940252607",
            "telephone_number": "720-633-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 LYTTON AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943011335",
            "telephone_number": "720-633-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDDLE",
        "first_name": "MELANIE",
        "credential": "M.S., CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "54225",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "0013398",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "13804",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PCRT Palo Alto Psychotherapy for Complex and Relational Trauma
• Cecilia Ann Peabody, M.D.
• Dakota James Samuel Justin Peacock, MD
• Rotem Pearlson
• Timothy Charles Peck, M.D.
• Maren Liv Pedersen, MD
• Martha Carey Pedersen, NP
• Julia Pederson
• Laia Pedreno Mateu
• Stephanie Pedro

• Massage Therapist in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.