Megan Marie Lewis, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2022041247 Issued in MO

Practice address

3600 Country Club Dr Ste 530B
Jefferson City, MO 65109-1060

Phone

(573) 606-7100

NPI assigned

Oct 27, 2022

Last updated

Oct 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Outbound Rehabilitation & Wellness LLC

  dba Outbound Physical Therapy & Rehab

  • Physical Therapist
  • Jefferson City, MO
  • NPI 1518234681

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1124735352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 ELM CT STE 205206",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651014303",
            "telephone_number": "573-681-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 COUNTRY CLUB DR STE 530B",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651091060",
            "telephone_number": "573-606-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1739 Elm Ct Ste 205206",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "MO",
            "postal_code": "651014303",
            "country_code": "US",
            "telephone_number": "573-681-0447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MEGAN",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2022041247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Lepper, PHARMD
• Daniel Lester, LCSW
• Thomas Scott Leupold, CRNA
• Brandon Douglas Lewis, PA-C
• Matthew Thomas Lewis, M.D.
• Suzanne Elizabeth Lewis, PT
• LHCG Cxci, LLC (Central Missouri Palliative Care)
• LHCG Cxlvi, LLC (Central Missouri Home Health)
• LHCG Cxlviii, LLC (Central Missouri Hospice)
• LHCG Cxxxxiii, LLC (Capital Region Home Health)

• Physical Therapy Assistant in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.