Individual provider Active NPI

Mikaela Meyer, DPT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1609693761
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1407067 Issued in TX
Practice address
6621 Fannin St
Houston, TX 77030-2399
Phone
(623) 474-3952
NPI assigned
Sep 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 30163 MD
Physical Therapist 225100000X 1407067 TX Primary

Addresses

Primary practice location

6621 Fannin St
Houston, TX 77030-2399

Mailing address

13967 W Grand Ave Ste 100
Surprise, AZ 85374
Phone (623) 474-3952

Other practice location 1

18200 Katy Fwy
Houston, TX 77094-1285
Phone (832) 227-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241003002804 MD Practitioner - Physical Therapist in Private Practice 2961933742 Reassigns benefits to 1 organization
I20250305002923 AZ Practitioner - Physical Therapist in Private Practice 2961933742 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1407067TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Sports Medicine & Rehabilitation, LLC Physical Therapist CurrentSince Feb 27, 2025 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC CurrentSince Feb 27, 2025 Accepting new patients
True Sports Physical Therapy, LLC Physical Therapist CurrentSince Sep 18, 2024 Accepting new patients
Pain Solutions Physical Therapy LLC Physical Therapist PastSince Feb 6, 2022 Accepting new patients
True Sports Physical Therapy 2, LLC Past Accepting new patients

Locations

1300 S Watson Rd
Ste 104
Buckeye, AZ 85326
Phone (623) 251-3201

6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909

15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822

13967 W Grand Ave
Ste 100
Surprise, AZ 85374
Phone (623) 474-3952

3305 N Swan Rd
Ste 115
Tucson, AZ 85712
Phone (520) 321-0204

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

710 S Ann St
Fl 2
Baltimore, MD 21231
Phone (667) 401-8847

1332 Londontown Blvd
Sykesville, MD 21784
Phone (410) 261-4430

Organizations & group practices 5

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": "1726790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1609693761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13967 W GRAND AVE STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85374",
            "telephone_number": "623-474-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302399",
            "telephone_number": "623-474-3952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18200 Katy Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770941285",
            "country_code": "US",
            "telephone_number": "832-227-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "MIKAELA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-20",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30163",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1407067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.