Individual provider Active NPI

Donald Ian McNeill, M.P.T.

  • Physical Therapist
  • Huntington Beach, CA
National Provider Identifier
1881643690
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23575 Issued in CA
Practice address
9036 Adams Ave
Huntington Beach, CA 92646-3402
Phone
(714) 963-7712
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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 23575 CA Primary

Addresses

Primary practice location

9036 Adams Ave
Huntington Beach, CA 92646-3402

Mailing address

9036 Adams Ave
Huntington Beach, CA 92646-3402
Phone (714) 963-7712

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141121002385 CA Practitioner - Physical Therapist in Private Practice 6103891320 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shoreline Physical Therapy IncGroup PAC ID 7113814211, 6 clinicians

Practice addresses (Care Compare)

9036 Adams Ave
Huntington Beach, CA 92646-3402
Phone (714) 963-7712

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DPT Holdings, LLC Physical Therapist CurrentSince Sep 9, 2025 Accepting new patients
Shoreline Physical Therapy, Inc. CurrentSince Oct 1, 2014 Accepting new patients
Pollock Physical Therapy Physical Therapist PastSince Jan 1, 1990 Accepting new patients
Mirage Physical Therapy, Inc Physical Therapist Past Accepting new patients
Grace L Walker Physical Therapy a Professional Corporation Physical Therapist Past Accepting new patients

Locations

4050 E Cotton Center Blvd
Ste 18
Phoenix, AZ 85040
Phone (480) 653-8200

9036 Adams Ave
Huntington Beach, CA 92646
Phone (714) 716-9373

19582 Beach Blvd
Ste 130
Huntington Beach, CA 92648
Phone (714) 841-6162

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, 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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1881643690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9036 ADAMS AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926463402",
            "telephone_number": "714-963-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9036 ADAMS AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926463402",
            "telephone_number": "714-963-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEILL",
        "first_name": "DONALD",
        "middle_name": "IAN",
        "name_prefix": "Mr.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "23575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.