Individual provider Active NPI

Meghan Burris, DPT

  • Physical Therapist
  • Oceanside, CA
National Provider Identifier
1730444951
Registry record updated Sep 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
39358 Issued in CA
Practice address
821 S Tremont St Ste a
Oceanside, CA 92054-4158
Phone
(760) 542-6666
Fax
(760) 713-6950
NPI assigned
Jul 13, 2012
Last updated
Sep 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2026

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 39358 CA Primary

Addresses

Primary practice location

821 S Tremont St Ste a
Oceanside, CA 92054-4158

Mailing address

821 S Tremont St Ste a
Oceanside, CA 92054-4158
Phone (760) 542-6666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130225000211 CA Practitioner - Physical Therapist in Private Practice 5799930731 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen J. Grace RPT Apc Physical Therapist CurrentSince Nov 1, 2019 Accepting new patients
Jonathan W Blue DPT Inc PastSince Jun 15, 2025 Accepting new patients

Locations

11468 Sorrento Valley Rd
Ste A
San Diego, CA 92121
Phone (858) 457-3545

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790380800000",
    "number": "1730444951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 S TREMONT ST STE A",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920544158",
            "telephone_number": "760-542-6666",
            "fax_number": "760-713-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 S TREMONT ST STE A",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920544158",
            "telephone_number": "760-542-6666",
            "fax_number": "760-713-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRIS",
        "first_name": "MEGHAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2026-09-26",
        "certification_date": "2026-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2026; 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.