Individual provider Active NPI

Meghann E La Marca, P.T.

  • Physical Therapist
  • Surprise, AZ
National Provider Identifier
1568587541
Registry record updated Feb 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7220 Issued in AZ
Practice address
14800 W Mountain View Blvd
Suite 260
Surprise, AZ 85374-4795
Phone
(623) 556-5013
Fax
(623) 556-9290
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7220 AZ Primary

Addresses

Primary practice location

14800 W Mountain View Blvd
Suite 260
Surprise, AZ 85374-4795

Mailing address

12361 W Bola Dr
Suite 110
Surprise, AZ 85378-9021
Phone (623) 977-1157

Other names 1

  • Meghann E Fleming Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080918000500 AZ Practitioner - Physical Therapist in Private Practice 4587731419 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
360 Physical Therapy LLCGroup PAC ID 1355237645, 87 clinicians

Practice addresses (Care Compare)

11340 W Bell Rd
Surprise, AZ 85378-9333
Phone 62322666442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7220AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
360 Physical Therapy LLC Physical Therapist CurrentSince Apr 4, 2022 Accepting new patients
360 Physical Therapy, LLC Current Accepting new patients
360 Physical Therapy LLC Physical Therapist CurrentSince Apr 4, 2022 Accepting new patients
Arizona Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Apr 25, 2023 Accepting new patients
Ideal Rehabilitation LLC Past Accepting new patients
Northwest Orthopedic & Sports Physical Therapy LLC PastSince Jun 1, 2002 Accepting new patients
Arizona Infusion Centers LLC Past Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist PastSince Mar 1, 2016 Accepting new patients

Locations

1076 W Chandler Blvd
Ste 103
Chandler, AZ 85224
Phone 4808211997116

1382 S Cotton Ln
Goodyear, AZ 85338
Phone (520) 438-7090

14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362

10752 N 89th Pl
Ste C134
Scottsdale, AZ 85260
Phone (480) 860-1990

11340 W Bell Rd
Surprise, AZ 85378
Phone (623) 226-6644

11340 W Bell Rd
Ste A101
Surprise, AZ 85378
Phone (623) 226-6644

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1568587541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12361 W BOLA DR",
            "address_2": "SUITE 110",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789021",
            "telephone_number": "623-977-1157",
            "fax_number": "623-977-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 W MOUNTAIN VIEW BLVD",
            "address_2": "SUITE 260",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744795",
            "telephone_number": "623-556-5013",
            "fax_number": "623-556-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA MARCA",
        "first_name": "MEGHANN",
        "middle_name": "E",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHANN",
            "last_name": "FLEMING",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.