Individual provider Active NPI

Meghan Eileen Golba, OTR/L

  • Pediatric Occupational Therapist
  • Phoenix, AZ
National Provider Identifier
1396035663
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
4797 Issued in AZ
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, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20190816000067 AZ Practitioner - Occupational Therapist in Private Practice 5395072136 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4797AZMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Therapy, Inc. CurrentSince Jun 8, 2019 Accepting new patients
Theracare PLLC Occupational Therapist CurrentSince Jun 8, 2019 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.

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.

Verify at the official NPI Registry.