Simone McEuen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11937 Issued in AZ

Practice address

861 E Cooley St
Ste. B
Show Low, AZ 85901-5121

Phone

(928) 537-2678

Fax

(928) 537-0078

NPI assigned

Jan 22, 2016

Sex

Female

Sole proprietor

No

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.

• Alpha and Omega Physical Therapy Acc

  • Physical Therapist
  • Show Low, AZ
  • NPI 1245202456

  AZ, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Alpha and Omega Physical Therapy Acc

  • Physical Therapist
  • Show Low, AZ
  • NPI 1194153916
  NPD (past)

Specialty

Physical Therapist in Private Practice

Education

Western University of Health Sciences College of Dental Med, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alpha and Omega Physical Therapy Acc 2 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453420800000",
    "number": "1235596123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 E COOLEY ST",
            "address_2": "STE. B",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859015121",
            "telephone_number": "928-537-2678",
            "fax_number": "928-537-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 E COOLEY ST",
            "address_2": "STE. B",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859015121",
            "telephone_number": "928-537-2678",
            "fax_number": "928-537-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEUEN",
        "first_name": "SIMONE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-22",
        "last_updated": "2016-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "11937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie L McAlister, PTA
• Ryan Eliot McCallum, DO
• Bailey McComb, PHARMD
• Michele McCormick, NP-C
• Mary Jean McDaniel, RPH
• James S McEvoy, DO
• Darrien Gerard McFarlin, PHARMD
• Jason Mark Melde, DMD
• Sue P. Menlove, CCC-SLP
• Brian Keith Merrill

• All providers in Show Low, AZ
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.