Megan Nicole Haggerty, PT, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018540 Issued in MI

Practice address

2380 Cedar St Ste 203
Holt, MI 48842-2211

Phone

(517) 709-4677

NPI assigned

Jan 23, 2018

Last updated

Jul 2, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Oakland College of Medicine and Surgery, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier RehabilitationGroup PAC ID 5698094795, 19 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Rehabilitation

  • Physical Therapist
  • Holt, MI
  • NPI 1306244066
  Medicare reassignment Care Compare group NPD
• Ompt Specialists, Inc.

  • Physical Therapist
  • Troy, MI
  • NPI 1205865961
  Medicare reassignment NPD
• Auto & Work Comp Rehab LLC

  • Physical Therapy Clinic/Center
  • Southfield, MI
  • NPI 1750618898
  NPD (past)

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1184122350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 ROC DR",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483903242",
            "telephone_number": "248-842-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 CEDAR ST STE 203",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488422211",
            "telephone_number": "517-709-4677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2455 Union Lake Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Commerce Twp",
            "state": "MI",
            "postal_code": "483823596",
            "country_code": "US",
            "telephone_number": "248-353-1234 x44",
            "fax_number": "248-242-6141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGGERTY",
        "first_name": "MEGAN",
        "middle_name": "NICOLE",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Lakes Spine and Medical PLLC
• Benjamin Martin Greathouse, PHARMD CANDIDATE
• Gayle Lynne Greenman
• Janis V Grigans
• Jacquelyn K Guyer, LBSW
• Marcy Hall, MA, CCC-SLP
• Happy Roots Counseling and Therapeutic Services LLC
• Haven Is Your Home Care LLC (Haven Is Your Home Care)
• Mallory Kay Haynie
• Janice May Heeney

• Physical Therapist in Holt, MI
• Providers in Holt, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.

Verify at the official NPI Registry.