Individual provider Active NPI

Megan Myers, MOT

  • Occupational Therapist
  • Sanford, ME
National Provider Identifier
1083058655
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
10889 Issued in MA
Practice address
5 Dunaway Dr
Sanford, ME 04073-5143
Phone
(207) 490-6849
NPI assigned
Apr 25, 2013
Last updated
Sep 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 10889 MA Primary

Addresses

Primary practice location

5 Dunaway Dr
Sanford, ME 04073-5143

Mailing address

64 Sand Crossing Rd
Waterboro, ME 04087-3233
Phone (207) 432-6107

Other practice location 1

209 Root Rd
Westfield, MA 01085-9832
Phone (413) 568-3942

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

LicenseStateTypeSpecialty
10889MAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1083058655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 SAND CROSSING RD",
            "city": "WATERBORO",
            "state": "ME",
            "postal_code": "040873233",
            "telephone_number": "207-432-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DUNAWAY DR",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040735143",
            "telephone_number": "207-490-6849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Root Rd",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "MA",
            "postal_code": "010859832",
            "country_code": "US",
            "telephone_number": "413-568-3942",
            "fax_number": "413-568-5982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "MEGAN",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-25",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "10889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.

Verify at the official NPI Registry.