| Melissa Marie De La O, | |
|
32261 Camino Capistrano, Suite D101, San Juan Capistrano, CA 92675-3746 | |
| (949) 429-2155 | |
| (949) 429-2151 |
| Full Name | Melissa Marie De La O |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 20 Years |
| Location | 32261 Camino Capistrano, San Juan Capistrano, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164602124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | PT32233 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spine And Sport Physical Therapy Inc | 4082600499 | 3 |
| Provider Name | Mesisca Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821104472 PECOS PAC ID: 6406749548 Enrollment ID: O20040203001148 |
| Provider Name | Spine And Sport Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1033142013 PECOS PAC ID: 4082600499 Enrollment ID: O20040421001736 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Marie De La O, 32261 Camino Capistrano, Suite D101, San Juan Capistrano, CA 92675-3746 Ph: (949) 429-2155 | Melissa Marie De La O, 32261 Camino Capistrano, Suite D101, San Juan Capistrano, CA 92675-3746 Ph: (949) 429-2155 |
Breanna Nicole Mcdavid, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 33161 Camino Capistrano Ste C, San Juan Capistrano, CA 92675 Phone: 801-336-6346 | |
Allyson Blackstone, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31441 Avenida De La Vis, San Juan Capistrano, CA 92675 Phone: 949-312-7227 | |
Spine And Sport Physical Therapy, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 32261 Camino Capistrano, Suite D101, San Juan Capistrano, CA 92675 Phone: 949-429-2155 Fax: 949-429-2151 | |
Kyle Jordan Olandt, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 32261 Camino Capistrano, San Juan Capistrano, CA 92675 Phone: 818-421-4745 | |
Dr. Jillian Stewart, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31441 Avenida De La Vis, San Juan Capistrano, CA 92675 Phone: 949-312-7227 | |
Matthew Brandon Huebert, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 26284 Oso Rd, San Juan Capistrano, CA 92675 Phone: 949-240-8441 Fax: 848-240-3447 | |
Joshua Drage Watson, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 30230 Rancho Viejo Rd Ste 120, San Juan Capistrano, CA 92675 Phone: 949-461-1250 Fax: 949-429-5999 |