Active NPI
Patricia C Megchelsen, P.T.
- Physical Therapist
- Sugar Grove, IL
National Provider Identifier
1225212327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-010415
- Practice address
- 38 S Main St
Suites a B
Sugar Grove, IL 60554-5031 - Phone
- (630) 466-5866
- Fax
- (630) 466-5869
- NPI assigned
- Dec 26, 2007
- 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 | 070-010415 | IL | Primary |
Addresses
Primary practice location
38 S Main St
Suites a B
Sugar Grove, IL 60554-5031
Mailing address
38 S Main St
Suites a B
Sugar Grove, IL 60554-5031
Phone (630) 466-5866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Ohio State University College of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
330 Division Dr
Suite Bande
Sugar Grove, IL 60554-9800
Phone (630) 777-3141
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-010415 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Attentive Individualized Management Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1605 W Wilson St
Ste 119
Batavia, IL 60510
Phone (630) 389-7767
330 Division Dr
Sugar Grove, IL 60554
Phone (630) 777-3141
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.
-
- Physical Therapy Clinic/Center
- Sugar Grove, IL
- NPI 1497244859
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383523200000",
"number": "1225212327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 S MAIN ST",
"address_2": "SUITES A B",
"city": "SUGAR GROVE",
"state": "IL",
"postal_code": "605545031",
"telephone_number": "630-466-5866",
"fax_number": "630-466-5869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 S MAIN ST",
"address_2": "SUITES A B",
"city": "SUGAR GROVE",
"state": "IL",
"postal_code": "605545031",
"telephone_number": "630-466-5866",
"fax_number": "630-466-5869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEGCHELSEN",
"first_name": "PATRICIA",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-26",
"last_updated": "2013-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-010415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.