Organization Active NPI

Meoss Neurorehab & Wellness

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1245077064
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MEOSS NEUROREHAB & WELLNESS
Practice address
1815 W 1St Ave Ste 145
Mesa, AZ 85202-1149
Phone
(915) 873-6186
NPI assigned
Jul 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Celeste Marie SantillanNPI 1326400201
Title
Physical Therapist
Phone
(915) 873-6186

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1815 W 1St Ave Ste 145
Mesa, AZ 85202-1149

Mailing address

3236 N Saffron
Mesa, AZ 85215-0908

National Provider Directory

National Provider Directory

Locations

1815 W 1st Ave
Ste 145
Mesa, AZ 85202
Phone (915) 873-6186

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": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1245077064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3236 N SAFFRON",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852150908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 W 1ST AVE STE 145",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852021149",
            "telephone_number": "915-873-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEOSS NEUROREHAB & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "SANTILLAN",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "915-873-6186"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.