Individual provider Active NPI

Megan Bardach, PT

  • Physical Therapist
  • Oro Valley, AZ
National Provider Identifier
1619637022
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT32134 Issued in AZ
Practice address
12460 N Rancho Vistoso Blvd Ste 140
Oro Valley, AZ 85755-1989
Phone
(520) 615-6573
Fax
(520) 575-7014
NPI assigned
Dec 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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 LPT32134 AZ Primary

Addresses

Primary practice location

12460 N Rancho Vistoso Blvd Ste 140
Oro Valley, AZ 85755-1989

Mailing address

408 Higuera St Ste 200
San Luis Obispo, CA 93401-6135
Phone (805) 788-0805

Other practice location 1

10445 N Oracle Rd
Tucson, AZ 85737-9358
Phone (520) 488-1133

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220106001776 AZ Practitioner - Physical Therapist in Private Practice 6204227945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1777 W Saint Marys Rd
Suite 121
Tucson, AZ 85745-2688
Phone (520) 884-9819

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT32134AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agility Spine & Sports Physical Therapy and Rehabilitation LP Physical Therapist CurrentSince Oct 28, 2024 Accepting new patients
Agility Spine & Sports Physical Therapy and Rehabilitation LP Physical Therapist Current Accepting new patients
Sunbelt Medical Group LLC Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Sunbelt Medical Group LLC CurrentSince Apr 1, 2024 Accepting new patients
Agility Spine & Sports Physical Therapy and Rehabilitation LP Physical Therapist CurrentSince Oct 28, 2024 Accepting new patients
Agility Spine & Sports Physical Therapy and Rehabilitation LP Physical Therapist Past Accepting new patients

Locations

3455 Canyon de Flores
Ste B2
Sierra Vista, AZ 85650
Phone (520) 803-9727

3988 E Fort Lowell Rd
Tucson, AZ 85712
Phone (520) 209-1919

10445 N Oracle Rd
Tucson, AZ 85737
Phone (520) 488-1133

1777 W Saint Marys Rd
Ste 121
Tucson, AZ 85745
Phone (520) 884-9819

6264 E Grant Rd
Tucson, AZ 85712
Phone (520) 884-0001

2850 N Country Club Rd
Tucson, AZ 85716
Phone 52032262747104

Organizations & group practices 6

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": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1619637022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 HIGUERA ST STE 200",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016135",
            "telephone_number": "805-788-0805",
            "fax_number": "805-788-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12460 N RANCHO VISTOSO BLVD STE 140",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551989",
            "telephone_number": "520-615-6573",
            "fax_number": "520-575-7014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10445 N Oracle Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857379358",
            "country_code": "US",
            "telephone_number": "520-488-1133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARDACH",
        "first_name": "MEGAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-27",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT32134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

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

Verify at the official NPI Registry.