Dennis John Mesisca, PHYSICAL THERAPIST

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

PT 16808 Issued in CA

Practice address

27765 Homestead Rd
Laguna Niguel, CA 92677-3762

Phone

(714) 281-0169

Fax

(714) 281-2238

NPI assigned

Jun 23, 2006

Sex

Male

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1821024878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7379",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926077379",
            "telephone_number": "714-281-0169",
            "fax_number": "714-281-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27765 HOMESTEAD RD",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773762",
            "telephone_number": "714-281-0169",
            "fax_number": "714-281-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESISCA",
        "first_name": "DENNIS",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "PT 16808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Przeklasa Auth MD Professional Corporation
• Randell Wayne Mello, RPH
• Montana Kaye Mellott, RN
• Memorialcare Surgical Center at Saddleback LLC
• Mesisca Physical Therapy Inc
• Michelle C Mezin
• Michael D Moran, M.D., Inc.
• Arturo Miguel
• Magdi Mikhael, MD
• Milkalicious, Inc

• Geriatric Physical Therapist in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Geriatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.