Active NPI
Michelle Meanor, MPT
- Physical Therapist
- Banning, CA
National Provider Identifier
1194967471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT24706
- Practice address
- 880 Foothill Dr
Banning, CA 92220-1221 - Phone
- (760) 777-3573
- Fax
- (951) 922-0648
- NPI assigned
- Apr 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT24706 | CA | Primary |
Addresses
Primary practice location
880 Foothill Dr
Banning, CA 92220-1221
Mailing address
880 Foothill Dr.
Banning, CA 92220
Phone (760) 777-3573
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
69472 Serenity Rd
Cathedral City, CA 92234-7921
Phone (760) 409-6383
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT24706 | CA | MD | Physical Therapist |
| 24706 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On the Move Rehab | Physical Therapist | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapist
- Cathedral City, CA
- NPI 1356710925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238544000000",
"number": "1194967471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 FOOTHILL DR.",
"city": "BANNING",
"state": "CA",
"postal_code": "92220",
"telephone_number": "760-777-3573",
"fax_number": "951-922-0648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 FOOTHILL DR",
"city": "BANNING",
"state": "CA",
"postal_code": "922201221",
"telephone_number": "760-777-3573",
"fax_number": "951-922-0648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEANOR",
"first_name": "MICHELLE",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-01",
"last_updated": "2009-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT24706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Banning, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.