Individual provider Active NPI

Megan Danaher, PT

  • Physical Therapist
  • Brigantine, NJ
National Provider Identifier
1104229244
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3103 W Brigantine Ave
Brigantine, NJ 08203-1655
Phone
(609) 264-5403
Fax
(609) 800-5486
NPI assigned
Oct 3, 2014
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Jefferson Medical College of Thomas Jefferson University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brigantine Physical Therapy and Fitness LLC 4 clinicians

Practice addresses (Care Compare)

3103 W Brigantine Ave
Brigantine, NJ 08203-1655
Phone (609) 264-5403

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170216002532 NJ Practitioner - Physical Therapist in Private Practice 7517282981 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4078HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brigantine Physical Therapy and Fitness LLC Physical Therapist CurrentSince Oct 5, 2016 Accepting new patients
Jag-One Physical Therapy, LLC Physical Therapist PastSince Jan 11, 2017 Accepting new patients

Locations

3103 W Brigantine Ave
Brigantine, NJ 08203
Phone (609) 264-5403

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

NPPES NPI Registry

Primary practice location

3103 W Brigantine Ave
Brigantine, NJ 08203-1655

Mailing address

3103 W Brigantine Ave
Brigantine, NJ 08203-1655
Phone (609) 264-5403

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 13, 2018.

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1104229244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 W BRIGANTINE AVE",
            "city": "BRIGANTINE",
            "state": "NJ",
            "postal_code": "082031655",
            "telephone_number": "609-264-5403",
            "fax_number": "609-800-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 W BRIGANTINE AVE",
            "city": "BRIGANTINE",
            "state": "NJ",
            "postal_code": "082031655",
            "telephone_number": "609-264-5403",
            "fax_number": "609-800-5486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANAHER",
        "first_name": "MEGAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-03",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigantine, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; 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.