Individual provider Active NPI

Meghan Gordineer, MPT

  • Physical Therapist
  • Los Gatos, CA
National Provider Identifier
1073145652
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT18864 Issued in CA
Practice address
987 University Ave Ste 18
Los Gatos, CA 95032-7640
Phone
(408) 356-2800
NPI assigned
Feb 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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 PT18864 CA Primary

Addresses

Primary practice location

987 University Ave Ste 18
Los Gatos, CA 95032-7640

Mailing address

2145 The Alameda
San Jose, CA 95126-1141
Phone (408) 556-0110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200313002162 CA Practitioner - Physical Therapist in Private Practice 3476981002 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
More Physical Therapy IncGroup PAC ID 5294783122, 51 clinicians

Practice addresses (Care Compare)

987 University Ave
Suite 18
Los Gatos, CA 95032-7640
Phone (408) 356-2800

Merit-based Incentive Payment System (MIPS)

Final score
68.04 of 100Reported as group
Quality
55.97
Improvement activities
40
Cost
74.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT18864CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Emergency Physicians Physical Therapist CurrentSince Aug 1, 2020 Accepting new patients
California Emergency Physicians Current Accepting new patients
More Physical Therapy, Inc. Physical Therapist CurrentSince Jun 2, 2021 Accepting new patients
California Emergency Physicians CurrentSince Aug 1, 2020 Accepting new patients

Locations

1633 Old Bayshore Hwy
Ste 145
Burlingame, CA 94010
Phone (650) 239-9075

1580 S Winchester Blvd
Ste 202
Campbell, CA 95008
Phone (408) 364-7600

987 University Ave
Ste 18
Los Gatos, CA 95032
Phone (408) 356-2800

554 Blossom Hill Rd
San Jose, CA 95123
Phone (408) 281-2772

1530 Meridian Ave
Ste 150
San Jose, CA 95125
Phone (408) 606-7951

2145 The Alameda
San Jose, CA 95126
Phone (408) 248-6886

Organizations & group practices 4

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": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1073145652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261141",
            "telephone_number": "408-556-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 UNIVERSITY AVE STE 18",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950327640",
            "telephone_number": "408-356-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDINEER",
        "first_name": "MEGHAN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT18864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.