Individual provider Active NPI

Megan Lemoncelli, PT DPT

  • Physical Therapist
  • Menifee, CA
National Provider Identifier
1962988816
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
294915 Issued in CA
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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 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

IdentifierTypeStateIssuer
CA384287OtherCAMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181017002629 CA Practitioner - Physical Therapist in Private Practice 5890047922 Reassigns benefits to 1 organization

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
Walker Physical Therapy, IncGroup PAC ID 3072697879, 12 clinicians

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

OrganizationSpecialtyStatusNew patients
Walker Physical Therapy, Inc Physical Therapist CurrentSince May 5, 2024 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist CurrentSince Dec 31, 2019 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist CurrentSince Nov 2, 2019 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.

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.

Verify at the official NPI Registry.