Active NPI
Megan Gibson, DPT
- Physical Therapist
- Springfield, IL
National Provider Identifier
1164087185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 2201 W White Oaks Dr
Springfield, IL 62704-6498 - Phone
- (217) 546-3301
- NPI assigned
- May 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070024809 | IL | |
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
2201 W White Oaks Dr
Springfield, IL 62704-6498
Mailing address
269 Cypress PT
Petersburg, IL 62675-9765
Other names 1
- Megan Sampson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
332 Industrial Dr
Albion, IL 62806-1300
Phone (618) 445-7637
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation and Performance Institute PSC | Physical Therapist | Current | Accepting new patients |
Locations
332 Industrial Dr
Albion, IL 62806
Phone (618) 445-3669
210 S 7th St
Petersburg, IL 62675
Phone (618) 852-3100
418 W 3rd St
Owensboro, KY 42301
Phone (270) 926-8145
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575504000000",
"number": "1164087185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 CYPRESS PT",
"city": "PETERSBURG",
"state": "IL",
"postal_code": "626759765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 W WHITE OAKS DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627046498",
"telephone_number": "217-546-3301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "MEGAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-06",
"last_updated": "2019-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070024809",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "SAMPSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.