Individual provider Active NPI

Megan E Flaherty, DPT, PT

  • Physical Therapist
  • MC Lean, VA
National Provider Identifier
1013567957
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305213142 Issued in VA
Practice address
8250 Greensboro Dr
MC Lean, VA 22102-4902
Phone
(703) 388-0288
Fax
(703) 388-0290
NPI assigned
Sep 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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 2305213142 VA Primary

Addresses

Primary practice location

8250 Greensboro Dr
MC Lean, VA 22102-4902

Mailing address

PO Box 1769
Middleburg, VA 20118-1769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20191017000143 DC Practitioner - Physical Therapist in Private Practice 5193056422 Reassigns benefits to 1 organization
I20191101001438 VA Practitioner - Physical Therapist in Private Practice 5193056422 Reassigns benefits to 1 organization
I20260106002744 MD Practitioner - Physical Therapist in Private Practice 5193056422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Clinics Limited PartnershipGroup PAC ID 2860623295, 116 clinicians
Prime Physical Therapy LLCGroup PAC ID 7012274525, 10 clinicians

Practice addresses (Care Compare)

30 Catoctin Cir SE
Suite 112
Leesburg, VA 20175-3614
Phone (571) 918-0197

6300 Georgetown Blvd
Suite 101
Eldersburg, MD 21784-6422
Phone (443) 531-5888

8250 Greensboro Dr
MC Lean, VA 22102-4902
Phone (703) 388-0288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Clinics Limited Partnership Physical Therapist CurrentSince Sep 9, 2019 Accepting new patients
Primephysicaltherapyllc Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
The Jackson Clinics LLC Physical Therapist PastSince Sep 9, 2019 Accepting new patients

Locations

6300 Georgetown Blvd
Ste 101
Sykesville, MD 21784
Phone (443) 531-5888

43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920

12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

30 Catoctin Cir SE
Ste 112
Leesburg, VA 20175
Phone (571) 918-0197

8250 Greensboro Dr
McLean, VA 22102
Phone (703) 388-0288

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": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1013567957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1769",
            "city": "MIDDLEBURG",
            "state": "VA",
            "postal_code": "201181769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8250 GREENSBORO DR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024902",
            "telephone_number": "703-388-0288",
            "fax_number": "703-388-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAHERTY",
        "first_name": "MEGAN",
        "middle_name": "E",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.