NPIMap

Organization Active NPI

Therapy Specialists

  • Physical Therapist
  • Lemon Grove, CA
National Provider Identifier
1902146905
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
39922 Issued in CA
Legal business name
THERAPY SPECIALISTS
Practice address
2211 Massachusetts Ave
Lemon Grove, CA 91945-3616
Phone
(619) 698-0903
NPI assigned
Feb 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Authorized official

Name
Ms. Annique Noelle Melese, DPT
Title
Physical Therapist
Phone
(650) 906-4132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 39922 CA Primary

Addresses

Primary practice location

2211 Massachusetts Ave
Lemon Grove, CA 91945-3616

Mailing address

3760 Convoy St
Suite#204
San Diego, CA 92111-3742
Phone (858) 514-0375

National Provider Directory

National Provider Directory
Tax ID family
Therapy Specialists10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1902146905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 CONVOY ST",
            "address_2": "SUITE#204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113742",
            "telephone_number": "858-514-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 MASSACHUSETTS AVE",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919453616",
            "telephone_number": "619-698-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "MELESE",
        "authorized_official_first_name": "ANNIQUE",
        "authorized_official_middle_name": "NOELLE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "650-906-4132",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemon Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.