Individual provider Active NPI

Melinda A Crisostomo, MPT

  • Orthopedic Physical Therapist
  • Ventura, CA
National Provider Identifier
1851361513
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT25183 Issued in CA
Practice address
5550 Telegraph Rd Ste a
Ventura, CA 93003-4256
Phone
(805) 850-0525
NPI assigned
Jan 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT25183 CA Primary

Addresses

Primary practice location

5550 Telegraph Rd Ste a
Ventura, CA 93003-4256

Mailing address

2564 Mariner CV
Port Hueneme, CA 93041-1573

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150518001305 CA Practitioner - Physical Therapist in Private Practice 8921328873 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ojai Physical Therapy Specialists IncGroup PAC ID 8022331313, 3 clinicians

Practice addresses (Care Compare)

236 W Ojai Ave
Suite 201
Ojai, CA 93023-3275
Phone (805) 640-1510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT25183CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Therapy Services, Inc Orthopedic CurrentSince Apr 1, 2015 Accepting new patients
Ojai Physical Therapy Specialists, Inc CurrentSince Aug 12, 2024 Accepting new patients

Locations

236 W Ojai Ave
Ste 201
Ojai, CA 93023
Phone (805) 640-1510

400 E Santa Barbara St
Ste B
Santa Paula, CA 93060
Phone (805) 525-6402

5550 Telegraph Rd
Ste A
Ventura, CA 93003
Phone (805) 222-0136

Organizations & group practices 2

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1851361513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2564 MARINER CV",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930411573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 TELEGRAPH RD STE A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930034256",
            "telephone_number": "805-850-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISOSTOMO",
        "first_name": "MELINDA",
        "middle_name": "A",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT25183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.