Meagan Peluso, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT21564 Issued in FL

Practice address

4540 Lafayette St Ste K&L
Marianna, FL 32446-3202

Phone

(334) 791-5865

NPI assigned

Aug 30, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: meagan.peluso.1@29055.direct.athenahealth.com

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1124334057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 LAFAYETTE ST STE K&L",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324463202",
            "telephone_number": "334-791-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 LAFAYETTE ST STE K&L",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324463202",
            "telephone_number": "334-791-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELUSO",
        "first_name": "MEAGAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Stan Peacock, O.D.
• Pelt Eye Clinic, P.a.
• Alan E Pelt, OD
• Ashley Pelt, DPT
• David G Pelt, OD
• Dale Edmund Petersen Jr., CP
• Tanya E Pierce, PTA
• Carrie Poole
• Geoffrey Brannon Poole
• Hope Bridwell Poole, NP

• Physical Therapist in Marianna, FL
• Providers in Marianna, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.