Active NPI
Megan Lemoncelli, PT DPT
- Physical Therapist
- Menifee, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 294915
- Practice address
- 30428 Haun Rd Ste 810
Menifee, CA 92584-6824 - Phone
- (951) 723-1866
- Fax
- (951) 723-1867
- NPI assigned
- Jul 13, 2018
- Last updated
- Jan 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 294915 | CA | Primary |
Addresses
Primary practice location
30428 Haun Rd Ste 810
Menifee, CA 92584-6824
Mailing address
600 Central Ave Ste C
Lake Elsinore, CA 92530-2740
Phone (951) 696-9353
Other practice location 1
29645 Rancho California Rd Ste 234
Temecula, CA 92591-5211
Phone (951) 506-3001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA384287 | Other | CA | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
29650 Bradley Rd
Menifee, CA 92586-6521
Phone (951) 672-0455
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walker Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Rancho Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Rancho Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
521 E Elder St
Ste 106
Fallbrook, CA 92028
Phone (760) 723-8337
600 Central Ave
Ste C
Lake Elsinore, CA 92530
30428 Haun Rd
Ste 810
Menifee, CA 92584
Phone (951) 723-1866
41990 Cook St
Ste 602
Palm Desert, CA 92211
Phone (760) 674-0675
277 Rancheros Dr
Ste 150
San Marcos, CA 92069
Phone (760) 750-1902
29650 Bradley Rd
Sun City, CA 92586
Phone (951) 672-0455
31720 US Highway 79
Ste 101
Temecula, CA 92592
Phone (951) 303-3566
Organizations & group practices 3
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.
-
- Physical Therapist
- Sun City, CA
- NPI 1154411650
-
dba Rancho Physical Therapy
- Physical Therapist
- Fallbrook, CA
- NPI 1174591812
-
dba Rancho Physical Therapy
- Physical Therapist
- Palm Desert, CA
- NPI 1497723183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1962988816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 CENTRAL AVE STE C",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925302740",
"telephone_number": "951-696-9353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30428 HAUN RD STE 810",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925846824",
"telephone_number": "951-723-1866",
"fax_number": "951-723-1867"
}
],
"practiceLocations": [
{
"address_1": "29645 Rancho California Rd Ste 234",
"address_purpose": "LOCATION",
"city": "Temecula",
"state": "CA",
"postal_code": "925915211",
"country_code": "US",
"telephone_number": "951-506-3001",
"fax_number": "951-506-3002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEMONCELLI",
"first_name": "MEGAN",
"credential": "PT DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-13",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "294915",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "CA384287",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Menifee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.