Active NPI
Cameron Mejia, PT, DPT, CSCS
- Physical Therapist
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 32844
- Practice address
- 4210 E Baseline Rd Ste 106
Mesa, AZ 85206-4418 - Phone
- (480) 503-2373
- NPI assigned
- Feb 7, 2023
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 32844 | AZ | Primary |
Addresses
Primary practice location
4210 E Baseline Rd Ste 106
Mesa, AZ 85206-4418
Mailing address
2550 S San Tan Village Pkwy Apt 3082
Gilbert, AZ 85295-7886
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 |
|---|---|---|---|
| 32844 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 360 Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| 360 Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| 360 Physical Therapy, LLC | Current | Accepting new patients | |
| 360 Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
Locations
1076 W Chandler Blvd
Ste 103
Chandler, AZ 85224
Phone 4808211997116
1472 E Williams Field Rd
Ste 1
Gilbert, AZ 85295
10861 E Baseline Rd
Ste A105
Mesa, AZ 85209
Phone (520) 231-1360
4210 E Baseline Rd
Ste 106
Mesa, AZ 85206
Phone (480) 503-2373
Organizations & group practices 4
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.
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- NPI 1386318699
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- Physical Therapist
- Queen Creek, AZ
- NPI 1689115164
-
- Multi-Specialty Clinic/Center
- Chandler, AZ
- NPI 1275576589
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675728000000",
"number": "1558067884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 S SAN TAN VILLAGE PKWY APT 3082",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852957886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4210 E BASELINE RD STE 106",
"city": "MESA",
"state": "AZ",
"postal_code": "852064418",
"telephone_number": "480-503-2373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEJIA",
"first_name": "CAMERON",
"credential": "PT, DPT, CSCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-07",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "32844",
"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 Feb 7, 2023; 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.