Megan Kamp, DPT
Individual provider Active NPI Physical Therapist · Gillespie, IL
NPI 1124412663 · NPPES record last updated Feb 21, 2022
Key facts
- NPI
- 1124412663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070021306 (IL)
- Practice address
- 607 Litchfield Rd
Gillespie, IL 62033-1300 - Phone
- (217) 280-4405
- NPI assigned
- Mar 23, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150514000934 | IL | Practitioner - Physical Therapist in Private Practice | 5991025983 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070021306 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Physical Therapist | Current |
Accepting new patients |
| Apex Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Current |
Accepting new patients |
Locations
1021 W E St
Belleville, IL 62220
Phone (618) 233-2095
538 Mason Dr
Breese, IL 62230
Phone (618) 623-0580
607 Litchfield Rd
Gillespie, IL 62033
Phone (217) 280-4405
15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070021306 | IL | Yes |
Addresses
Primary practice location
607 Litchfield Rd
Gillespie, IL 62033-1300
Mailing address
15 Apex Dr
Highland, IL 62249-1282
Phone (618) 651-0444
Other practice location 1
2122 Troy Rd Ste 120
Edwardsville, IL 62025-2540
Phone (618) 800-4620
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Other providers in Gillespie, IL
- Illinois Valley Rehabilitation Center
- Integrative Medical Solutions
- Jachino Corp.
- Steven Ronald Jachino
- Maithilee A Jani
- Keri Ann Kaylor
- Zuzana Jackevicius Killam
- Macoupin County Public Health Department
- Macoupin County Public Health Department
- Macoupin County Public Health Department
All providers in Gillespie, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.