Megan Sean Hardisty, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

11412 Issued in NC

Practice address

4201 Lake Boone Trail Suite 4
Raleigh, NC 27607-7511

Phone

(919) 968-3456

Fax

(919) 932-3456

NPI assigned

Feb 13, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Total Rehabilitation Inc

  • Speech-Language Pathologist
  • Chapel Hill, NC
  • NPI 1760477715

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221436800000",
    "number": "1003084906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 EAST FRANKLIN STREET",
            "address_2": "BLDG. # 600",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27214",
            "telephone_number": "919-968-3456",
            "fax_number": "919-932-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 LAKE BOONE TRAIL SUITE 4",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077511",
            "telephone_number": "919-968-3456",
            "fax_number": "919-932-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDISTY",
        "first_name": "MEGAN",
        "middle_name": "SEAN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "11412",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "11412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Fulp Hardin, MD
• Elisa Matney Hardin, M.ED.C.C.C.
• Sarah Hardin, CTRS, LRT
• Taaliyah Hardin
• Teneisha Nicole Hardison, LPC-A
• Julie A Hardman, LCSW
• Cheryl Bailey Hardy, MS CCC SLP
• Chirsopher Hardy Jr., COTA/L
• Hugh Dan Hardy Jr., RPH
• James J Hardy, MD

• Pediatric Physical Therapist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Pediatric Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.