Active NPI
Melodie Mae Mattson-Bell, MPT,OCS
- Orthopedic Physical Therapist
- Twentynine Palms, CA
National Provider Identifier
1831237486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT10149
- Practice address
- 5930 Adobe Rd
Twentynine Palms, CA 92277-2356 - Phone
- (760) 367-1743
- Fax
- (760) 367-1083
- NPI assigned
- Feb 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT10149 | CA | Primary |
Addresses
Primary practice location
5930 Adobe Rd
Twentynine Palms, CA 92277-2356
Mailing address
8260 N Granite Oaks Dr
Prescott, AZ 86305-8767
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0PT101490 | Other | CA | BLUE SHIELD |
| PT0101490 | Medicaid | CA | |
| 144792 | Other | CA | WA. STATE DEPT OF LABOR |
| 1930576 | Other | CA | FIRST HEALTH-CCN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT10149 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H.D.P.R.G., Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Twentynine Palms, CA
- NPI 1295886067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195948800000",
"number": "1831237486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8260 N GRANITE OAKS DR",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863058767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5930 ADOBE RD",
"city": "TWENTYNINE PALMS",
"state": "CA",
"postal_code": "922772356",
"telephone_number": "760-367-1743",
"fax_number": "760-367-1083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTSON-BELL",
"first_name": "MELODIE",
"middle_name": "MAE",
"credential": "MPT,OCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2007-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT10149",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "0PT101490",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PT0101490",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA. STATE DEPT OF LABOR",
"identifier": "144792",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH-CCN",
"identifier": "1930576",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Twentynine Palms, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.