Individual provider Active NPI

Michaela Lea McLean, PT, DPT

  • Physical Therapist
  • Indio, CA
National Provider Identifier
1679321590
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
307285 Issued in CA
Practice address
81557 Dr Carreon Blvd Ste C4
Indio, CA 92201-5562
Phone
(760) 347-6195
Fax
(760) 347-2849
NPI assigned
May 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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 307285 CA Primary

Addresses

Primary practice location

81557 Dr Carreon Blvd Ste C4
Indio, CA 92201-5562

Mailing address

4593 Altadena Ave
San Diego, CA 92115-3321
Phone (858) 789-6822

Other practice location 1

25615 104th Ave SE
Kent, WA 98030-7609
Phone (253) 872-2030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA, OR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240710003105 WA Practitioner - Physical Therapist in Private Practice 0143765594 Reassigns benefits to 1 organization
I20241120004720 CA Practitioner - Physical Therapist in Private Practice 0143765594 Reassigns benefits to 2 organizations
I20260624000918 OR Practitioner - Physical Therapist in Private Practice 0143765594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monterey Spine and Joint PCGroup PAC ID 0840295721, 75 clinicians
Eugene Physical Therapy LLCGroup PAC ID 0345221065, 10 clinicians
CV Physical Therapy, Inc.Group PAC ID 5698834174, 20 clinicians

Practice addresses (Care Compare)

21 Lower Ragsdale Dr
Monterey, CA 93940-5827
Phone (831) 648-7200

54 Oakway Ctr
Eugene, OR 97401-5645
Phone (541) 687-7005

81557 Doctor Carreon Blvd
Suite C4
Indio, CA 92201-5562
Phone (760) 347-6195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Monterey Spine & Joint PC CurrentSince Nov 20, 2024 Accepting new patients
Multicare Health System CurrentSince Jun 21, 2024 Accepting new patients
CV Physical Therapy, Inc. Physical Therapist CurrentSince Dec 5, 2025 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Jun 21, 2024 Accepting new patients
Monterey Spine & Joint PC CurrentSince Nov 20, 2024 Accepting new patients
Montage Surgical Group Past Accepting new patients
CV Physical Therapy, Inc. PastSince Oct 21, 2025 Accepting new patients

Locations

35325 Date Palm Dr
Ste 131
Cathedral City, CA 92234
Phone (760) 202-0368

81557 Doctor Carreon Blvd
Ste C4
Indio, CA 92201
Phone (760) 347-6195

21 Lower Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6040

12 Upper Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6060

408 Higuera St
Ste 200
Sn Luis Obisp, CA 93401

1716 W Hammer Ln
Stockton, CA 95209
Phone (204) 473-2383

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

25615 104th Ave SE
Kent, WA 98030
Phone (253) 872-2030

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Interoperability endpoints

  • Direct secure messaging: michaela.mclean.p1@direct.msjhealth.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1679321590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4593 ALTADENA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921153321",
            "telephone_number": "858-789-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81557 DR CARREON BLVD STE C4",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015562",
            "telephone_number": "760-347-6195",
            "fax_number": "760-347-2849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25615 104th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "980307609",
            "country_code": "US",
            "telephone_number": "253-872-2030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "MICHAELA",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "307285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.