Active NPI
Megan N Blomenberg, M.P.T.
- Physical Therapist
- Seymour, IN
National Provider Identifier
1174596985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05008441A
- Practice address
- 1400 W 2ND St
Seymour, IN 47274-2224 - Phone
- (812) 522-2240
- Fax
- (812) 522-9582
- NPI assigned
- Feb 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05008441A | IN | Primary |
Addresses
Primary practice location
1400 W 2ND St
Seymour, IN 47274-2224
Mailing address
PO Box 747
Seymour, IN 47274-0747
Phone (812) 522-2240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 W 2ND St
Seymour, IN 47274-2224
Phone (812) 522-2240
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
-
- General Practice Physician
- Seymour, IN
- NPI 1881667285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174596985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 747",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472740747",
"telephone_number": "812-522-2240",
"fax_number": "812-522-9582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 W 2ND ST",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472742224",
"telephone_number": "812-522-2240",
"fax_number": "812-522-9582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOMENBERG",
"first_name": "MEGAN",
"middle_name": "N",
"name_prefix": "Mrs.",
"credential": "M.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05008441A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seymour, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.