Melissa Shintani, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT293678 Issued in CA

Practice address

24422 Avenida de la Carlota Ste 190
Laguna Hills, CA 92653-3634

Phone

(949) 340-6927

Fax

(949) 215-7246

NPI assigned

Sep 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1740709666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24422 AVENIDA DE LA CARLOTA STE 190",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533634",
            "telephone_number": "949-690-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24422 AVENIDA DE LA CARLOTA STE 190",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533634",
            "telephone_number": "949-340-6927",
            "fax_number": "949-215-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINTANI",
        "first_name": "MELISSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT293678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shoreline Consulting Services, Inc.
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• Physical Therapist in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.