Individual provider Active NPI

Megan Fiandt, DPT

  • Physical Therapist
  • Hudson, WI
National Provider Identifier
1124003215
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29578 Issued in CA
Practice address
1600 Maxwell Dr Ste 7
Hudson, WI 54016-8759
Phone
(844) 325-5866
NPI assigned
Dec 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT29578 CA Primary

Addresses

Primary practice location

1600 Maxwell Dr Ste 7
Hudson, WI 54016-8759

Mailing address

1600 Maxwell Dr Ste 7
Hudson, WI 54016-8759
Phone (844) 328-5866

Other names 1

  • Megan Wernimont Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241030001128 WI Practitioner - Physical Therapist in Private Practice 1153351051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daulton Physical Therapy LLCGroup PAC ID 0345469284, 4 clinicians

Practice addresses (Care Compare)

1600 Maxwell Dr
Suite 7
Hudson, WI 54016-8759
Phone (844) 328-5866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT29578CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Daulton Physical Therapy, LLC Physical Therapist CurrentSince Aug 23, 2024 Accepting new patients

Locations

1600 Maxwell Dr
Ste 7
Hudson, WI 54016
Phone (715) 402-4562

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1124003215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MAXWELL DR STE 7",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168759",
            "telephone_number": "844-328-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MAXWELL DR STE 7",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168759",
            "telephone_number": "844-325-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIANDT",
        "first_name": "MEGAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-12",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "WERNIMONT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hudson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.