Individual provider Active NPI

Melinda To, DPT

  • Physical Therapist
  • Fremont, CA
National Provider Identifier
1790377638
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
299689 Issued in CA
Practice address
39141 Civic Center Dr Ste 120
Fremont, CA 94538-5831
Phone
(510) 794-9672
NPI assigned
Feb 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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 299689 CA Primary

Addresses

Primary practice location

39141 Civic Center Dr Ste 120
Fremont, CA 94538-5831

Mailing address

2679 Glen Hardy CT
San Jose, CA 95148-4122

Other identifiers 1

IdentifierTypeStateIssuer
1053320325OtherGROUP NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210318002715 CA Practitioner - Physical Therapist in Private Practice 3577970532 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Practice addresses (Care Compare)

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

39141 Civic Ctr Dr
Suite 120
Fremont, CA 94538-5831
Phone (510) 794-9672

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Breakthrough Physical Therapy Inc Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Washington Outpatient Rehabilitation Center, a Joint Venture Physical Therapist CurrentSince Apr 7, 2025 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Nov 14, 2023 Accepting new patients

Locations

39141 Civic Center Dr
Ste 120
Fremont, CA 94538
Phone (510) 794-9672

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

333 Soquel Way
Sunnyvale, CA 94085
Phone (408) 736-7600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1790377638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2679 GLEN HARDY CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951484122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39141 CIVIC CENTER DR STE 120",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945385831",
            "telephone_number": "510-794-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TO",
        "first_name": "MELINDA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1053320325",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.