Active NPI
Meghan Eileen Golba, OTR/L
- Pediatric Occupational Therapist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 4797
- Practice address
- 16815 S Desert Foothills Pkwy
Suite 126
Phoenix, AZ 85048-8401 - Phone
- (480) 704-5954
- NPI assigned
- Apr 7, 2011
- Last updated
- May 16, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 4797 | AZ | Primary |
Addresses
Primary practice location
16815 S Desert Foothills Pkwy
Suite 126
Phoenix, AZ 85048-8401
Mailing address
16815 S Desert Foothills Pkwy
Suite 126
Phoenix, AZ 85048-8401
Phone (480) 704-5954
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4797 | AZ | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Therapy, Inc. | Current | Accepting new patients | |
| Theracare PLLC | Occupational Therapist | Current | Accepting new patients |
| Desert Valley Pediatric Therapy | Past | Accepting new patients |
Locations
2830 E Brown Rd
Ste 1
Mesa, AZ 85213
Phone (480) 830-1188
530 E McDowell Rd
Phoenix, AZ 85004
Phone (480) 712-7179
530 E McDowell Rd
Ste 107475
Phoenix, AZ 85004
Organizations & group practices 3
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.
-
- Home Health Agency
- Mesa, AZ
- NPI 1962552547
-
- Occupational Therapist
- Peoria, AZ
- NPI 1962784249
-
- Specialist
- Phoenix, AZ
- NPI 1528209830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305504000000",
"number": "1396035663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16815 S DESERT FOOTHILLS PKWY",
"address_2": "SUITE 126",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850488401",
"telephone_number": "480-704-5954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16815 S DESERT FOOTHILLS PKWY",
"address_2": "SUITE 126",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850488401",
"telephone_number": "480-704-5954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLBA",
"first_name": "MEGHAN",
"middle_name": "EILEEN",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-07",
"last_updated": "2011-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AZ",
"license": "4797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.