Individual provider Active NPI

Melanie Callos Francisco, PT, DPT

  • Physical Therapist
  • Federal Way, WA
National Provider Identifier
1902567852
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
301512 Issued in CA
Practice address
32030 23Rd Ave S
Federal Way, WA 98003-6031
Phone
(253) 946-4852
Fax
(253) 946-4862
NPI assigned
Jan 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 301512 CA Primary

Addresses

Primary practice location

32030 23Rd Ave S
Federal Way, WA 98003-6031

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

8484 Madison Ave
Fair Oaks, CA 95628-3878
Phone (916) 999-9242

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220302002529 CA Practitioner - Physical Therapist in Private Practice 3375937667 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Marin Physical Therapy IncGroup PAC ID 1052466950, 13 clinicians

Practice addresses (Care Compare)

421 Miller Ave
Mill Valley, CA 94941-2903
Phone (415) 388-8166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
301512CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa Back Fitness and Physical Therapy Inc Physical Therapist CurrentSince Oct 23, 2023 Accepting new patients
Active Marin Physical Therapy Inc CurrentSince Aug 5, 2025 Accepting new patients
California Sports Physical Therapy Centers Inc Physical Therapist CurrentSince Apr 22, 2024 Accepting new patients
California Sports Physical Therapy Centers, Inc. Physical Therapist Current Accepting new patients

Locations

2035 Corte del Nogal
Ste 200
Carlsbad, CA 92011
Phone (760) 931-8310

20211 Patio Dr
Ste 205
Castro Valley, CA 94546
Phone (510) 537-3991

1333 Willow Pass Rd
Ste 110
Concord, CA 94520
Phone (925) 676-7431

421 Miller Ave
Mill Valley, CA 94941
Phone (415) 388-8166

101 Wilson Rd
Ste C
Monterey, CA 93940
Phone (831) 375-1885

350 Bollinger Canyon Ln
Ste A
San Ramon, CA 94582
Phone (925) 735-6414

2798 Yulupa Ave
Ste 1
Santa Rosa, CA 95405
Phone (707) 527-4001

5910 Pacific Ave
Stockton, CA 95207
Phone (209) 475-1000

2792 Naglee Rd
Tracy, CA 95304
Phone (209) 433-6510

Organizations & group practices 5

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": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1902567852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32030 23RD AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036031",
            "telephone_number": "253-946-4852",
            "fax_number": "253-946-4862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8484 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Fair Oaks",
            "state": "CA",
            "postal_code": "956283878",
            "country_code": "US",
            "telephone_number": "916-999-9242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRANCISCO",
        "first_name": "MELANIE",
        "middle_name": "CALLOS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.