Melissa Anne Kanan, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT21653 Issued in CA

Practice address

3532 Alameda
Menlo Park, CA 94025-6510

Phone

(650) 561-9589

Fax

(650) 561-9654

NPI assigned

Nov 14, 2007

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

Other names 1

• Melissa Ann Leet Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Carrola Physical Therapy,Inc.

  • Physical Therapist
  • Burlingame, CA
  • NPI 1831261411
  NPD (past)

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397433600000",
    "number": "1851571285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 HAWES CT",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940612723",
            "telephone_number": "650-362-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3532 ALAMEDA",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940256510",
            "telephone_number": "650-561-9589",
            "fax_number": "650-561-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANAN",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2014-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT21653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "LEET",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Darshana P Kaliyaperumal, MFCS, RD
• Emily Anne Kallen, PT, DPT
• Breanna Marie Kalning, LVN
• Scott W Kaloust, DDS, MS
• Vinita Kamthan-Sanjay, MD
• Christina E Kang, NUTRITIONIST, JD, MS
• Haejin Kang
• Paiyarut Kanjanavaikoon, MD
• Julianne Yuriko Kanzaki, MPH, RD
• Chienwen Jennifer Kao

• Physical Therapist in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.