Individual provider Active NPI

Meghan Slemenda Dietz, D.P.T

  • Physical Therapist
  • San Francisco, CA
National Provider Identifier
1689821878
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
36938 Issued in CA
Practice address
1628 California St
San Francisco, CA 94109-4604
Phone
(415) 935-0868
NPI assigned
Aug 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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 36938 CA Primary
Physical Therapist 225100000X 0305531 NY

Addresses

Primary practice location

1628 California St
San Francisco, CA 94109-4604

Mailing address

1810 Polk St
#202
San Francisco, CA 94109-3041
Phone (484) 919-2837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0305531NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Physical Therapy of New Canaan, PLLC Physical Therapist CurrentSince Apr 9, 2024 Accepting new patients
Performance Physical Therapy of Westport LLC Physical Therapist CurrentSince Apr 9, 2024 Accepting new patients
Local Motion Physical Therapy Inc Physical Therapist Current Accepting new patients
Performance Physical Therapy of Hamden LLC Physical Therapist CurrentSince Apr 9, 2024 Accepting new patients
Performance Physical Therapy of Darien LLC Physical Therapist CurrentSince Apr 9, 2024 Accepting new patients

Locations

1628 California St
#A
San Francisco, CA 94109
Phone (415) 694-9451

800 Post Rd
#3A
Darien, CT 06820
Phone (203) 202-2703

16 Cross St
New Canaan, CT 06840
Phone (203) 228-5010

1952 Whitney Ave
New Haven, CT 06517
Phone (203) 553-7626

508 Westport Ave
Norwalk, CT 06851
Phone (203) 553-7626

9 W Broad St
Ste 100
Stamford, CT 06902

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": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1689821878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 POLK ST",
            "address_2": "#202",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941093041",
            "telephone_number": "484-919-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 CALIFORNIA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094604",
            "telephone_number": "415-935-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZ",
        "first_name": "MEGHAN",
        "middle_name": "SLEMENDA",
        "name_prefix": "Ms.",
        "credential": "D.P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36938",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0305531",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.