Individual provider Active NPI

Aaron Henry Megazzi, D.P.T.

  • Physical Therapist
  • Haslett, MI
National Provider Identifier
1215345780
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501019149 Issued in MI
Practice address
5668 Okemos Rd
Haslett, MI 48840-9539
Phone
(517) 580-5676
Fax
(517) 575-0277
NPI assigned
Jul 29, 2014
Last updated
Aug 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT40782 CA
Physical Therapist 225100000X 5501019149 MI Primary

Addresses

Primary practice location

5668 Okemos Rd
Haslett, MI 48840-9539

Mailing address

1795 Nemoke CT Apt 10
Haslett, MI 48840-8679
Phone (805) 331-4133

Other practice location 1

2121 Myrtle Ave
Eureka, CA 95501
Phone (707) 442-6463

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200616000443 MI Practitioner - Physical Therapist in Private Practice 0345541595 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT40782CAMDPhysical Therapist
5501019149MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc Physical Therapist CurrentSince Mar 11, 2020 Accepting new patients
Physiotherapy Associates, Inc. Physical Therapist Current Accepting new patients
Physiotherapy Associates Inc CurrentSince Mar 11, 2020 Accepting new patients

Locations

5668 Okemos Rd
Haslett, MI 48840
Phone (517) 256-6870

11561 Edgerton Ave NE
Rockford, MI 49341
Phone (616) 866-2727

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1215345780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 NEMOKE CT APT 10",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408679",
            "telephone_number": "805-331-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5668 OKEMOS RD",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488409539",
            "telephone_number": "517-580-5676",
            "fax_number": "517-575-0277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 Myrtle Ave",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "95501",
            "country_code": "US",
            "telephone_number": "707-442-6463",
            "fax_number": "707-445-8883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEGAZZI",
        "first_name": "AARON",
        "middle_name": "HENRY",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-29",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT40782",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haslett, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.