Individual provider Active NPI

Melissa Routh

  • Occupational Therapist
  • Escondido, CA
National Provider Identifier
1902502206
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
22133 Issued in CA
Practice address
403 W 5TH Ave Ste C
Escondido, CA 92025-4851
Phone
(760) 536-2377
NPI assigned
Feb 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Occupational Therapist 225XG0600X 22133 CA
Occupational Therapist 225X00000X 22133 CA Primary

Addresses

Primary practice location

403 W 5TH Ave Ste C
Escondido, CA 92025-4851

Mailing address

17161 Alva Rd # Uit915
San Diego, CA 92127-2142
Phone (760) 705-8783

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

LicenseStateTypeSpecialty
22133CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Home Physical Therapy Providers & Wellness Inc. CurrentSince Feb 12, 2023 Accepting new patients
Socal Occupational Therapy Occupational Therapist CurrentSince Apr 9, 2024 Accepting new patients

Locations

403 W 5th Ave
Ste C
Escondido, CA 92025
Phone (760) 536-2377

1611 S Melrose Dr
Ste A
Vista, CA 92081
Phone (760) 230-3451

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": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1902502206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17161 ALVA RD # UIT915",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921272142",
            "telephone_number": "760-705-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W 5TH AVE STE C",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254851",
            "telephone_number": "760-536-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUTH",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "CA",
            "license": "22133",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "22133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.