Active NPI
Megan Kathleen Holliger, PTA
- Physical Therapy Assistant
- Cuba, IL
National Provider Identifier
1053923235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 160007964
- Practice address
- 625 E Monroe St
Cuba, IL 61427-5109 - Phone
- (309) 785-5012
- NPI assigned
- Aug 19, 2020
- Last updated
- Aug 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160007964 | IL | Primary |
Addresses
Primary practice location
625 E Monroe St
Cuba, IL 61427-5109
Mailing address
2520 S Lightfoot Rd
Farmington, IL 61531-9352
Phone (309) 370-0968
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160007964 | IL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597795200000",
"number": "1053923235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 S LIGHTFOOT RD",
"city": "FARMINGTON",
"state": "IL",
"postal_code": "615319352",
"telephone_number": "309-370-0968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 E MONROE ST",
"city": "CUBA",
"state": "IL",
"postal_code": "614275109",
"telephone_number": "309-785-5012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLIGER",
"first_name": "MEGAN",
"middle_name": "KATHLEEN",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-19",
"last_updated": "2020-08-19",
"certification_date": "2020-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IL",
"license": "160007964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cuba, IL
- County of Fulton (The Clayberg Fulton County Nursing Center)
- Bridgette Dennis, MS CCC-SLP
- Fulton County Comm Dist 3
- Graham Hospital Association (Graham Medical Group)
- Marcia Anne Heitz, LCSW
- Jennifer June Lang, M.S.
- Charlotte M Lindner, CCC-SLP/L
- Michelle L Markley, LPTA
- Trisha Ann McCombs
- Stacie N Petitgout
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.