Individual provider Active NPI

Megan Alicia Gretzmacher

  • Physical Therapy Assistant
  • Arnold, MO
National Provider Identifier
1184459588
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2024035265 Issued in MO
Practice address
3488 Jeffco Blvd Ste 102
Arnold, MO 63010-6015
Phone
(636) 464-5439
Fax
(636) 464-5438
NPI assigned
Sep 4, 2024
Last updated
May 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2024035265 MO Primary

Addresses

Primary practice location

3488 Jeffco Blvd Ste 102
Arnold, MO 63010-6015

Mailing address

604 Monroe St
Desloge, MO 63601-3426
Phone (573) 747-9210

Other practice location 1

1265 Doctors Dr
Farmington, MO 63640-2947
Phone (573) 218-9337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2024035265MOMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1184459588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 MONROE ST",
            "city": "DESLOGE",
            "state": "MO",
            "postal_code": "636013426",
            "telephone_number": "573-747-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3488 JEFFCO BLVD STE 102",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630106015",
            "telephone_number": "636-464-5439",
            "fax_number": "636-464-5438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1265 Doctors Dr",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MO",
            "postal_code": "636402947",
            "country_code": "US",
            "telephone_number": "573-218-9337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRETZMACHER",
        "first_name": "MEGAN",
        "middle_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2024035265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.