Individual provider Active NPI

Melinda Klein, M.P.T.

  • Physical Therapist
  • Thousand Oaks, CA
National Provider Identifier
1962425959
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27970 Issued in CA
Practice address
2166 N Moorpark Rd Ste 200
Thousand Oaks, CA 91360-5011
Phone
(805) 370-1020
Fax
(805) 370-1022
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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 27970 CA Primary

Addresses

Primary practice location

2166 N Moorpark Rd Ste 200
Thousand Oaks, CA 91360-5011

Mailing address

2166 N Moorpark Rd Ste 200
Thousand Oaks, CA 91360-5011
Phone (805) 370-1020

Other identifiers 1

IdentifierTypeStateIssuer
27670OtherCAPT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100802000991 CA Practitioner - Physical Therapist in Private Practice 6103840186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bartley Physical Therapy PCGroup PAC ID 9133306723, 12 clinicians

Practice addresses (Care Compare)

2166 N Moorpark Rd
Suite 200
Thousand Oaks, CA 91360-5009
Phone (805) 370-1020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bartley Physical Therapy PC Physical Therapist CurrentSince Feb 2, 2015 Accepting new patients
Westlake Physical Therapy, Inc. Physical Therapist PastSince Jan 1, 2002 Accepting new patients
Westlake Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Locations

2166 N Moorpark Rd
Ste 200
Thousand Oaks, CA 91360
Phone (805) 370-1020

Organizations & group practices 3

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1962425959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2166 N MOORPARK RD STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605011",
            "telephone_number": "805-370-1020",
            "fax_number": "805-370-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2166 N MOORPARK RD STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605011",
            "telephone_number": "805-370-1020",
            "fax_number": "805-370-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "MELINDA",
        "name_prefix": "Mrs.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "27970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "27670",
            "state": "CA"
        }
    ],
    "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 26, 2020; 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.