Active NPI
Megan Lauren Lusby
- Physical Therapist
- Lexington, KY
National Provider Identifier
1083040893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007955
- Practice address
- 1650 Bryan Station Rd Ste 122
Lexington, KY 40505-2139 - Phone
- (592) 936-1338
- Fax
- (859) 293-6730
- NPI assigned
- Sep 25, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTT28680 | FL | |
| Physical Therapist | 225100000X | 007955 | KY | Primary |
Addresses
Primary practice location
1650 Bryan Station Rd Ste 122
Lexington, KY 40505-2139
Mailing address
1650 Bryan Station Rd Ste 122
Lexington, KY 40505-2139
Phone (859) 293-6133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100735490 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mllusby@kort.com | Direct |
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 |
|---|---|---|---|
| PTT28680 | FL | MD | Physical Therapist |
| 007955 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Request Physical Therapy | Single Specialty | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631232000000",
"number": "1083040893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 BRYAN STATION RD STE 122",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405052139",
"telephone_number": "859-293-6133",
"fax_number": "859-293-6730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 BRYAN STATION RD STE 122",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405052139",
"telephone_number": "592-936-1338",
"fax_number": "859-293-6730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUSBY",
"first_name": "MEGAN",
"middle_name": "LAUREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-25",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PTT28680",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "KY",
"license": "007955",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100735490",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mllusby@kort.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1650 Bryan Station Rd Ste 122",
"city": "Lexington",
"state": "KY",
"country_code": "US",
"postal_code": "405052139",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.