Healthcare Provider Details

I. General information

NPI: 1730444951
Provider Name (Legal Business Name): MEGHAN BURRIS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2012
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 S TREMONT ST STE A
OCEANSIDE CA
92054-4158
US

IV. Provider business mailing address

821 S TREMONT ST STE A
OCEANSIDE CA
92054-4158
US

V. Phone/Fax

Practice location:
  • Phone: 760-542-6666
  • Fax: 760-713-6950
Mailing address:
  • Phone: 760-542-6666
  • Fax: 760-713-6950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number39358
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: