Active NPI
Meghan A Radocy, DPT
- Physical Therapist
- Petoskey, MI
National Provider Identifier
1073537965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501014989
- Practice address
- 820 Arlington Ave
Petoskey, MI 49770-2469 - Phone
- (231) 487-4786
- NPI assigned
- Jul 26, 2006
- Last updated
- Feb 20, 2018
- 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 Therapist | 225100000X | 5501014989 | MI | Primary |
Addresses
Primary practice location
820 Arlington Ave
Petoskey, MI 49770-2469
Mailing address
4041 Oakwood TRL
Petoskey, MI 49770-8595
Phone (253) 304-5151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G8862740 | Other | WA | MEDICARE ID |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5501014989 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519084800000",
"number": "1073537965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4041 OAKWOOD TRL",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497708595",
"telephone_number": "253-304-5151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 ARLINGTON AVE",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497702469",
"telephone_number": "231-487-4786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADOCY",
"first_name": "MEGHAN",
"middle_name": "A",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2018-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501014989",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "G8862740",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Petoskey, MI
- Quantum Medical Radiology of California, P.C.
- Quick Care Family Medical Center PC
- Quick Care Family Medical Center, PC
- R Blaine Rawson MD PC
- R D Ferguson DO, PC (Little Traverse Bay Family Medicine)
- Rapin & Rapin Inc (R & R Prescription Services)
- Mary Elizabeth Rapin, RPH
- Raymond Blaine Rawson, MD
- Thomas James Rea, D.D.S., M.S.
- Reactive Physical Therapy and Wellness
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.