Individual provider Active NPI

Megan Chamoun, OTR/L

  • Hand Occupational Therapist
  • El Segundo, CA
National Provider Identifier
1003356338
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
Practice address
615 N Nash St
Suite 306
El Segundo, CA 90245-2825
Phone
(310) 535-0008
Fax
(310) 535-0009
NPI assigned
Mar 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Ergonomics Occupational Therapist 225XE1200X
Hand Occupational Therapist 225XH1200X Primary
Neurorehabilitation Occupational Therapist 225XN1300X
Physical Rehabilitation Occupational Therapist 225XP0019X

Addresses

Primary practice location

615 N Nash St
Suite 306
El Segundo, CA 90245-2825

Mailing address

615 N Nash St
Suite 306
El Segundo, CA 90245-2825
Phone (310) 535-0008

Other identifiers 1

IdentifierTypeStateIssuer
1811095318OtherCANPI OF EMPLOYER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170327002268 CA Practitioner - Occupational Therapist in Private Practice 2466737846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of Southern California Keck School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Made to Move Physical Therapy IncGroup PAC ID 6103825625, 6 clinicians

Practice addresses (Care Compare)

615 N Nash St
Suite 306
El Segundo, CA 90245-2850
Phone (310) 920-3952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10229CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Rehab Partners LLC CurrentSince Apr 1, 2017 Accepting new patients
NRP Physical Therapy Corp. CurrentSince Apr 1, 2017 Accepting new patients

Locations

6133 Bristol Pkwy
Ste 200
Culver City, CA 90230
Phone (310) 337-7600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1003356338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N NASH ST",
            "address_2": "SUITE 306",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902452825",
            "telephone_number": "310-535-0008",
            "fax_number": "310-535-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N NASH ST",
            "address_2": "SUITE 306",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902452825",
            "telephone_number": "310-535-0008",
            "fax_number": "310-535-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMOUN",
        "first_name": "MEGAN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI OF EMPLOYER",
            "identifier": "1811095318",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.