Individual provider Active NPI

Meghan Goutremout, PT

  • Physical Therapist
  • St Simons Island, GA
National Provider Identifier
1144942988
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016481 Issued in GA
Practice address
212 Retreat VLG
Saint Simons Island, GA 31522-2403
Phone
(912) 638-1444
Fax
(912) 638-0077
NPI assigned
Sep 19, 2022
Last updated
Sep 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X PT016481 GA Primary

Addresses

Primary practice location

212 Retreat VLG
Saint Simons Island, GA 31522-2403

Mailing address

PO Box 949
Rome, GA 30162-0949
Phone (912) 638-1444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241205000150 CA Practitioner - Physical Therapist in Private Practice 6204203912 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
307042CAMDDiabetes Educator Registered Nurse
PT016481GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince May 14, 2023 Accepting new patients
Golden State Orthopedics & Spine CurrentSince Nov 18, 2024 Accepting new patients
Golden State Orthopedics & Spine CurrentSince Nov 18, 2024 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Sep 19, 2022 Accepting new patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist CurrentSince May 12, 2024 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Sep 19, 2022 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince May 14, 2023 Accepting new patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist CurrentSince May 12, 2024 Accepting new patients
Golden State Orthopedics & Spine Current Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist PastSince Sep 17, 2023 Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist PastSince Sep 17, 2023 Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

221 E Hacienda Ave
Ste A
Campbell, CA 95008
Phone (408) 356-0444

2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

3250 Harden Street Ext
Ste 100
Columbia, SC 29203
Phone (803) 509-6389

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

203 E Butler Rd
#C
Mauldin, SC 29662
Phone (864) 268-6686

19505 7th Ave NE
Poulsbo, WA 98370
Phone (360) 598-3764

2400 NW Myhre Rd
Ste 101
Silverdale, WA 98383
Phone (360) 598-3764

2400 NW Myhre Rd
Ste 102
Silverdale, WA 98383
Phone (360) 598-3764

Interoperability endpoints

  • Direct secure messaging: meghan.goutremout.p2@direct.muirortho.nextgenshare.com

Organizations & group practices 12

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": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1144942988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 949",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301620949",
            "telephone_number": "912-638-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 RETREAT VLG",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222403",
            "telephone_number": "912-638-1444",
            "fax_number": "912-638-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUTREMOUT",
        "first_name": "MEGHAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Simons Island, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.