Grace Magpantay Meneses, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 25363 Issued in CA

Practice address

1740 Marco Polo Way Ste 11
Burlingame, CA 94010-4500

Phone

(650) 692-4811

Fax

(650) 692-4817

NPI assigned

Aug 24, 2006

Last updated

Oct 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Burlingame Therapeutic Associatesii

  • Physical Therapy Clinic/Center
  • Burlingame, CA
  • NPI 1306998513

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1316054471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 MARCO POLO WAY STE 11",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104500",
            "telephone_number": "650-692-4811",
            "fax_number": "650-692-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 MARCO POLO WAY STE 11",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104500",
            "telephone_number": "650-692-4811",
            "fax_number": "650-692-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENESES",
        "first_name": "GRACE",
        "middle_name": "MAGPANTAY",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 25363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aldine Grace Mendoza
• Eduardo Mendoza
• Justina Maria Mendoza, MA, PPSC
• Steven Mendoza
• Michael C Menefee, PH.D.
• Mary Mercier
• Jennifer Lynn Merrill, LCSW
• Bill Jerry Metaxas, D.P.M.
• Andrea P Metkus, M.D.
• Svea Irena Meyer

• Physical Therapist in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.