Individual provider Active NPI

Megan Long, PT, DPT

  • Physical Therapist
  • Kahului, HI
National Provider Identifier
1073332581
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-6014-0 Issued in HI
Practice address
111 Hana Hwy Ste 107
Kahului, HI 96732-2300
Phone
(808) 877-8717
Fax
(800) 877-8718
NPI assigned
Oct 10, 2024
Last updated
Oct 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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 PT-6014-0 HI Primary

Addresses

Primary practice location

111 Hana Hwy Ste 107
Kahului, HI 96732-2300

Mailing address

6723 Cool Springs Rd
Thompsons Station, TN 37179-9212
Phone (615) 972-2746

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250116002841 HI Practitioner - Physical Therapist in Private Practice 6608303110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapeutic Associates of Maui LLCGroup PAC ID 2365330297, 4 clinicians

Practice addresses (Care Compare)

111 Hana Hwy
Suite 107
Kahului, HI 96732-2300
Phone (808) 877-8717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-6014-0HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Associates of Maui, LLC Physical Therapist CurrentSince Jan 2, 2025 Accepting new patients
Therapeutic Associates of Maui, LLC PastSince Oct 13, 2024 Accepting new patients

Locations

111 Hana Hwy
Ste 107
Kahului, HI 96732
Phone (808) 205-0603

Interoperability endpoints

  • Direct secure messaging: megan.long@205404757950468.direct.elationemr.com

Organizations & group practices 2

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": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1073332581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6723 COOL SPRINGS RD",
            "city": "THOMPSONS STATION",
            "state": "TN",
            "postal_code": "371799212",
            "telephone_number": "615-972-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HANA HWY STE 107",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322300",
            "telephone_number": "808-877-8717",
            "fax_number": "800-877-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "MEGAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-6014-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.