Melissa Marie De La O
NPI 1164602124ActiveIndividual· Physical Therapist, Orthopedic· San Juan Capistrano, CA
Physical Therapist, Orthopedic with Spine and Sport Physical Therapy Inc, practicing in San Juan Capistrano, California. Medicare paid $43,652 for services to 95 patients in 2024.
Overview
| NPI | 1164602124 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Nov 7, 2007 |
| Last updated in NPPES | Oct 4, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Orthopedic Primary | 2251X0800X | PT32233 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 95 |
|---|---|
| Services billed | 2,141 across 10 procedure codes |
| Paid by Medicare | $43,652 |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Spine and Sport Physical Therapy IncSan Juan Capistrano, CA · 3 clinicians
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