Organization Active NPI

Meyers Physical Therapy

  • Physical Therapy Clinic/Center
  • South Lake Tahoe, CA
National Provider Identifier
1003378324
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MEYERS PHYSICAL THERAPY
Practice address
2311 Lake Tahoe Blvd Ste 1
South Lake Tahoe, CA 96150-7104
Phone
(530) 721-3253
Fax
(530) 285-2002
NPI assigned
Apr 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Authorized official

Name
Jessica Monaloy, PT CIMTNPI 1376628552
Title
Owner
Phone
(530) 721-3253

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2311 Lake Tahoe Blvd Ste 1
South Lake Tahoe, CA 96150-7104

Mailing address

PO Box 550275
South Lake Tahoe, CA 96155-0275
Phone (530) 721-3253

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jessica@meyersphysicaltherapy.com
Direct Messaging Address jessica@meyersphysicaltherapy.com

National Provider Directory

National Provider Directory

Locations

2311 Lake Tahoe Blvd
Ste 1
South Lake Tahoe, CA 96150
Phone (530) 721-3253

3200 US Highway 50
Unit 5
South Lake Tahoe, CA 96150
Phone (530) 517-0637

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1003378324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550275",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961550275",
            "telephone_number": "530-721-3253",
            "fax_number": "530-285-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 LAKE TAHOE BLVD STE 1",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507104",
            "telephone_number": "530-721-3253",
            "fax_number": "530-285-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEYERS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-04",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "MONALOY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-721-3253",
        "authorized_official_credential": "PT CIMT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica@meyersphysicaltherapy.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "address_1": "3200 US Highway 50 Unit 5",
            "city": "South Lake Tahoe",
            "state": "CA",
            "country_code": "US",
            "postal_code": "961509207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica@meyersphysicaltherapy.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "address_1": "2311 Lake Tahoe Blvd Ste 1",
            "city": "South Lake Tahoe",
            "state": "CA",
            "country_code": "US",
            "postal_code": "961507104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Lake Tahoe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.