Individual provider Active NPI

Megan Felton Burlage, PT, DPT, ATC, LAT

  • Physical Therapist
  • Cape Coral, FL
National Provider Identifier
1164159604
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39156 Issued in FL
Practice address
2708 Santa Barbara Blvd Ste 145
Cape Coral, FL 33914-4443
Phone
(239) 257-1562
NPI assigned
Aug 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AL5729 FL
Physical Therapist 225100000X PT39156 FL Primary

Addresses

Primary practice location

2708 Santa Barbara Blvd Ste 145
Cape Coral, FL 33914-4443

Mailing address

2708 Santa Barbara Blvd Ste 145
Cape Coral, FL 33914-4443
Phone (239) 257-1562

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220926001379 FL Practitioner - Physical Therapist in Private Practice 4587040795 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT39156FLMDPhysical Therapist
AL5729FLMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Motion Cape Coral LLC Physical Therapist CurrentSince Aug 8, 2022 Accepting new patients
Back in Motion Sport & Spine Physical Therapy LLC Physical Therapist CurrentSince Jan 2, 2023 Accepting new patients
Lifestyle Hearing Corporation USA Inc CurrentSince Aug 8, 2022 Accepting new patients

Locations

2708 Santa Barbara Blvd
Ste 145
Cape Coral, FL 33914
Phone (239) 214-3589

4784 Pelican Sound Blvd
Estero, FL 33928
Phone (239) 233-0484

9400 Gladiolus Dr
Ste 100
Fort Myers, FL 33908
Phone (239) 223-0484

9724 Commerce Center Ct
Ste B
Fort Myers, FL 33908
Phone (239) 223-0484

Organizations & group practices 3

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": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1164159604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 SANTA BARBARA BLVD STE 145",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339144443",
            "telephone_number": "239-257-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 SANTA BARBARA BLVD STE 145",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339144443",
            "telephone_number": "239-257-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLAGE",
        "first_name": "MEGAN",
        "middle_name": "FELTON",
        "name_prefix": "Dr.",
        "credential": "PT,  DPT, ATC,  LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL5729",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.