Individual provider Active NPI

Meghan Cecelia Clouspy, PT, DPT

  • Physical Therapist
  • Frederick, MD
National Provider Identifier
1063297869
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29635 Issued in MD
Practice address
2440 Osprey Way Ste C
Frederick, MD 21701-1958
Phone
(240) 223-1722
NPI assigned
Aug 29, 2023
Last updated
Aug 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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 29635 MD Primary

Addresses

Primary practice location

2440 Osprey Way Ste C
Frederick, MD 21701-1958

Mailing address

812 Blakely CT Apt 263
Frederick, MD 21702-4029
Phone (717) 698-5301

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
29635MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Indigo Roland Park LLC Physical Therapist CurrentSince Apr 24, 2024 Accepting new patients

Locations

2440 Osprey Way
Ste C
Frederick, MD 21701
Phone (240) 223-1722

3060 Williams Dr
Ste 300
Fairfax, VA 22031
Phone (571) 609-3507

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1063297869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 BLAKELY CT APT 263",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024029",
            "telephone_number": "717-698-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 OSPREY WAY STE C",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217011958",
            "telephone_number": "240-223-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUSPY",
        "first_name": "MEGHAN",
        "middle_name": "CECELIA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.