Individual provider Active NPI

Megan Self, DPT

  • Physical Therapist
  • Rancho Cordova, CA
National Provider Identifier
1578089520
Registry record updated Aug 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
293625 Issued in CA
Practice address
10390 Coloma Rd Ste 7
Rancho Cordova, CA 95670-2152
Phone
(916) 858-0950
Fax
(916) 759-8681
NPI assigned
Aug 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2017

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 293625 CA Primary

Addresses

Primary practice location

10390 Coloma Rd Ste 7
Rancho Cordova, CA 95670-2152

Mailing address

2802 Scandia Way
Carmichael, CA 95608-4016
Phone (916) 844-9332

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171113001269 CA Practitioner - Physical Therapist in Private Practice 1254697998 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians
MDRS Spine and Sport IncGroup PAC ID 3274446687, 181 clinicians

Practice addresses (Care Compare)

Los Gatos, CA 95032
Phone (866) 525-3175

5525 Dewey Dr
Suite 202
Fair Oaks, CA 95628-3131
Phone (916) 536-9130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
293625CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Jun 30, 2025 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Jun 30, 2025 Accepting new patients
Sacramento Spine & Physical Therapy Inc. CurrentSince Sep 12, 2024 Accepting new patients
The Physical Therapy Clinics, Inc. Physical Therapist PastSince Oct 26, 2017 Accepting new patients
Sacramento Spine & Physical Therapy Inc. Physical Therapist Past Accepting new patients
Feld Care Therapy Inc Physical Therapist Past Accepting new patients

Locations

450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781

1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104

5525 Dewey Dr
Ste 202
Fair Oaks, CA 95628
Phone (916) 536-9130

14150 Culver Dr
Ste 103
Irvine, CA 92604
Phone (949) 262-9142

1650 Lead Hill Blvd
Ste 300
Roseville, CA 95661
Phone (916) 677-1210

1650 Lead Hill Blvd
Roseville, CA 95661
Phone (916) 677-1200

9852 Business Park Dr
Ste A
Sacramento, CA 95827
Phone (916) 362-7962

1801 Cleveland Ave
Ste B
Santa Rosa, CA 95401
Phone (707) 526-4180

5850 Canoga Ave
Ste 120
Woodland Hills, CA 91367
Phone (747) 255-4089

Organizations & group practices 7

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": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503273600000",
    "number": "1578089520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 SCANDIA WAY",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956084016",
            "telephone_number": "916-844-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10390 COLOMA RD STE 7",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956702152",
            "telephone_number": "916-858-0950",
            "fax_number": "916-759-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELF",
        "first_name": "MEGAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2017-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; 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.