Megan Lynch Madlom, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9354 Issued in SC

Practice address

7402 Stonehaven Dr
Waxhaw, NC 28173-7359

Phone

(210) 896-0182

NPI assigned

Jul 10, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Megan Rene Lynch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1104080043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 STONEHAVEN DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737359",
            "telephone_number": "210-896-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 STONEHAVEN DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737359",
            "telephone_number": "210-896-0182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24801 Pinebrook Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201524112",
            "country_code": "US",
            "telephone_number": "703-722-2525",
            "fax_number": "703-327-6708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADLOM",
        "first_name": "MEGAN",
        "middle_name": "LYNCH",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19440",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "9354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "LYNCH",
            "middle_name": "RENE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gin Wen Lou
• Jenna Lowery, MOT/L
• Rachael Luscombe
• Jennifer Lyash
• Hannah Marie Caroline Mabellos, SLP
• Melissa Magee-Kakouras, LCSW
• Naina A Mahale, DDS
• Sheila Makler, MS OTR/L
• Robert Malecki, M.D.
• Michael Anthony Maloney

• Physical Therapist in Waxhaw, NC
• Providers in Waxhaw, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.