Active NPI
Miron Neil Ferrer
- Physical Therapist
- Queen Creek, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 033619
- Practice address
- 37200 N Gantzel Rd Ste 260
Queen Creek, AZ 85140-7387 - Phone
- (480) 690-8080
- NPI assigned
- Feb 28, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 293939 | CA | |
| Physical Therapist | 225100000X | 033619 | AZ | Primary |
Addresses
Primary practice location
37200 N Gantzel Rd Ste 260
Queen Creek, AZ 85140-7387
Mailing address
1978 Elevate Way
Chula Vista, CA 91915-3299
Other practice location 1
200 W Arbor Dr
San Diego, CA 92103-9000
Phone (800) 926-8273
Other practice location 2
13075 Evening Creek Dr S
San Diego, CA 92128-8101
Phone (858) 461-6240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
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
Practice addresses (Care Compare)
37200 N Gantzel Rd
Suite 260
Queen Creek, AZ 85140-7387
Phone (480) 690-8080
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.77 of 100
- Quality
- 84.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033619 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| Regents of the University of California Ucsd Head and Neck Surgery | Past | Accepting new patients |
Locations
3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404
37200 N Gantzel Rd
Ste 260
San Tan Valley, AZ 85140
Phone (480) 677-3294
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Buckeye, AZ
- NPI 1467129684
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Bullhead City, AZ
- NPI 1093681033
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Gilbert, AZ
- NPI 1316574569
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Gilbert, AZ
- NPI 1497271431
-
- Otolaryngology Physician
- San Diego, CA
- NPI 1679509962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1619479284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1978 ELEVATE WAY",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919153299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37200 N GANTZEL RD STE 260",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851407387",
"telephone_number": "480-690-8080"
}
],
"practiceLocations": [
{
"address_1": "200 W Arbor Dr",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921039000",
"country_code": "US",
"telephone_number": "800-926-8273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13075 Evening Creek Dr S",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921288101",
"country_code": "US",
"telephone_number": "858-461-6240",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERRER",
"first_name": "MIRON",
"middle_name": "NEIL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-28",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "293939",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "033619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.