Active NPI
Melissa M Johns, PT
- Specialist
- Thousand Oaks, CA
National Provider Identifier
1881606317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT34718
- Practice address
- 101 Hodencamp Road
Ste 100
Thousand Oaks, CA 91360 - Phone
- (805) 495-0516
- Fax
- (805) 381-9366
- NPI assigned
- Aug 13, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 17596 | MA | |
| Specialist | 174400000X | PT34718 | CA | Primary |
| Orthopedic Physical Therapist | 2251X0800X | PT34718 | CA |
Addresses
Primary practice location
101 Hodencamp Road
Ste 100
Thousand Oaks, CA 91360
Mailing address
101 Hodencamp Road, Ste 100
Thousand Oaks, CA 91360
Phone (805) 495-0516
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 |
|---|---|---|---|
| PT34718 | CA | MD | Specialist |
| 17596 | MA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Sports & Muscular | Orthopedic | 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.
-
- Orthopedic Physical Therapist
- East Weymouth, MA
- NPI 1104822576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432684800000",
"number": "1881606317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 HODENCAMP ROAD, STE 100",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "91360",
"telephone_number": "805-495-0516",
"fax_number": "805-381-9366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 HODENCAMP ROAD",
"address_2": "STE 100",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "91360",
"telephone_number": "805-495-0516",
"fax_number": "805-381-9366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNS",
"first_name": "MELISSA",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2015-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "17596",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "PT34718",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT34718",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.