Individual provider Active NPI

Shelley Lynn Mejia, DPT

  • Physical Therapist
  • Sun City, CA
National Provider Identifier
1083882526
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
34362 Issued in CA
Practice address
29650 Bradley Rd
Sun City, CA 92586-6521
Phone
(951) 672-0455
Fax
(951) 672-0206
NPI assigned
Feb 19, 2008
Last updated
Nov 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

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 34362 CA Primary

Addresses

Primary practice location

29650 Bradley Rd
Sun City, CA 92586-6521

Mailing address

29650 Bradley Road
Sun City, CA 92586-6521
Phone (951) 672-0455

Other names 1

  • Shelley Lynn Jones Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080408000682 CA Practitioner - Physical Therapist in Private Practice 0244317733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Walker Physical Therapy, IncGroup PAC ID 3072697879, 12 clinicians

Practice addresses (Care Compare)

29650 Bradley Rd
Menifee, CA 92586-6521
Phone (951) 672-0455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Walker Physical Therapy, Inc Physical Therapist CurrentSince Sep 5, 2006 Accepting new patients

Locations

29650 Bradley Rd
Sun City, CA 92586
Phone (951) 672-0455

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226448000000",
    "number": "1083882526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29650 BRADLEY ROAD",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925866521",
            "telephone_number": "951-672-0455",
            "fax_number": "951-672-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29650 BRADLEY RD",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925866521",
            "telephone_number": "951-672-0455",
            "fax_number": "951-672-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA",
        "first_name": "SHELLEY",
        "middle_name": "LYNN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "34362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "JONES",
            "middle_name": "LYNN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sun City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.