Megan Anderson
Individual provider Active NPI Physical Therapist · Redmond, OR
NPI 1194604140 · NPPES record last updated Sep 2, 2025
Key facts
- NPI
- 1194604140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 65875 (OR)
- Practice address
- 450 NW Greenwood Ave
Redmond, OR 97756-1531 - Phone
- (541) 923-0410
- NPI assigned
- Sep 2, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- New Proactive LLC
Practice addresses (Care Compare)
450 NW Greenwood Ave
Redmond, OR 97756-1531
Phone (541) 923-0410
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251009004047 | OR | Practitioner - Physical Therapist in Private Practice | 3375040785 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65875 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omnis Omnia Inc. | Current |
Accepting new patients | |
| New Proactive LLC | Physical Therapist | Current |
Accepting new patients |
Locations
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
1630 Beavercreek Rd
Ste A
Oregon City, OR 97045
Phone (503) 607-0047
450 NW Greenwood Ave
Redmond, OR 97756
Phone (541) 923-0410
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 65875 | OR | Yes |
Addresses
Primary practice location
450 NW Greenwood Ave
Redmond, OR 97756-1531
Mailing address
1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (726) 202-3039
Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.