Megan Magelitz, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3318-19 Issued in WI

Practice address

1700 Midway Rd
Menasha, WI 54952-1230

Phone

(920) 739-0111

NPI assigned

Jan 18, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1104531730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 W 9TH AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549026265",
            "telephone_number": "920-594-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MIDWAY RD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521230",
            "telephone_number": "920-739-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGELITZ",
        "first_name": "MEGAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "3318-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://fprehab.com/",
            "affiliation": "N",
            "address_1": "1700 Midway Rd",
            "city": "Menasha",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549521230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chad Thomas Lorge, MSE, NCC
• Sabra A Lotto, SACIT
• Crystal Ludwig, APSW, MSSW
• Barbara Lutzewitz
• Michael A Madden, MD
• Kurt L. Mahnke, LCSW
• Tammy Manteufel, RN
• Jonathan William Marin, PH.D.
• Dayne John Marlenga, PTA
• Amechia A Matthews

• Physical Therapy Assistant in Menasha, WI
• Providers in Menasha, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.