Megan Meduna, MSPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

29928 Issued in CA

Practice address

457 S Fitness PL Ste 100
Eagle, ID 83616-6568

Phone

(208) 939-3332

Fax

(208) 939-3338

NPI assigned

Mar 25, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eagle Physical Therapy PAGroup PAC ID 7719967744, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Eagle Physical Therapy PA

  • Physical Therapist
  • Eagle, ID
  • NPI 1750478327
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1134443757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 S FITNESS PL STE 100",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166568",
            "telephone_number": "208-939-3332",
            "fax_number": "208-939-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 S FITNESS PL STE 100",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166568",
            "telephone_number": "208-939-3332",
            "fax_number": "208-939-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDUNA",
        "first_name": "MEGAN",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-8164",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CA",
            "license": "29928",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "29928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn L McMullan, M.D.
• Jennifer McWaters, PSY.D.
• Mederx, LLC
• Medical Fitness Center LLC
• Mednow Inc (MedNow Eagle Pharmacy)
• Bethany Joy Mello, NP-C
• Lindsey Mepham
• Jordan W Merrill, MD
• Metabolic Health and Longevity Center
• Michael D Lahey MD LLC

• Orthopedic Physical Therapist in Eagle, ID
• Providers in Eagle, ID by specialty
• Orthopedic Physical Therapist in Idaho

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