Active NPI
Rebecca Mellman, PT
- Physical Therapist
- Vista, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1922 Hacienda Dr
Vista, CA 92081-6024 - Phone
- (760) 295-4175
- Fax
- (760) 295-4176
- NPI assigned
- Jan 23, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1922 Hacienda Dr
Vista, CA 92081-6024
Mailing address
1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Star Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Rancho Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
16008 Kamana Rd
Ste 200
Apple Valley, CA 92307
Phone (760) 810-7767
450 W Palmdale Blvd
Palmdale, CA 93551
Phone (661) 273-5333
1338 Main St
Ramona, CA 92065
Phone (760) 789-1400
8901 Activity Rd
Ste 200
San Diego, CA 92126
Phone (858) 566-6673
29645 Rancho California Rd
Ste 234
Temecula, CA 92591
Phone (951) 506-3001
1922 Hacienda Dr
Vista, CA 92081
Phone (760) 295-4175
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
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.
-
- Physical Therapist
- Murrieta, CA
- NPI 1750559431
-
- Physical Therapist
- Temecula, CA
- NPI 1679541320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1942915061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 LYNDON FARM CT STE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402235005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1922 HACIENDA DR",
"city": "VISTA",
"state": "CA",
"postal_code": "920816024",
"telephone_number": "760-295-4175",
"fax_number": "760-295-4176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLMAN",
"first_name": "REBECCA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-23",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.