Individual provider Active NPI

Meghan McCoobery Malay, DPT

  • Physical Therapist
  • Tempe, AZ
National Provider Identifier
1780826537
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10204 Issued in AZ
Practice address
1626 S Priest Dr Ste 101
Tempe, AZ 85281-6598
Phone
(480) 921-2273
Fax
(480) 921-7114
NPI assigned
Mar 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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 18582 MA
Physical Therapist 225100000X 10204 AZ Primary

Addresses

Primary practice location

1626 S Priest Dr Ste 101
Tempe, AZ 85281-6598

Mailing address

955 E Knox Rd Unit 110
Chandler, AZ 85225-1477
Phone (508) 726-3900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231004002049 AZ Practitioner - Physical Therapist in Private Practice 4587711080 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Sep 20, 2023 Accepting new patients
Milton Chiro and Rehab Inc Physical Therapist Past Accepting new patients
Milton Chiropractic and Rehabilitation Inc Physical Therapist PastSince Dec 2, 2012 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist Past Accepting new patients
Milton Chiropractic and Rehabilitation Inc Past Accepting new patients

Locations

14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362

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": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1780826537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 E KNOX RD UNIT 110",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852251477",
            "telephone_number": "508-726-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 S PRIEST DR STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852816598",
            "telephone_number": "480-921-2273",
            "fax_number": "480-921-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAY",
        "first_name": "MEGHAN",
        "middle_name": "MCCOOBERY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-25",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "18582",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "10204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.