Individual provider Active NPI

Megan Danielle Gentry, PT, DPT

  • Physical Therapist
  • Richlands, NC
National Provider Identifier
1225316904
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6498 Issued in SC
Practice address
2360 Kinston Hwy
Richlands, NC 28574-6271
Phone
(910) 389-6749
Fax
(910) 324-4325
NPI assigned
Jul 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6498 SC Primary

Addresses

Primary practice location

2360 Kinston Hwy
Richlands, NC 28574-6271

Mailing address

PSC 557 Box 793
Fpo, AP 96379-0008
Phone (864) 630-1722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240716003472 SC Practitioner - Physical Therapist in Private Practice 9032654868 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6498SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Medical Group Inc Physical Therapist CurrentSince Mar 31, 2024 Accepting new patients

Locations

320 Tandem Dr
Greer, SC 29650
Phone (864) 655-7757

211 Hillcrest Dr
Laurens, SC 29360
Phone (864) 346-0391

213 E Butler Rd
Ste E2
Mauldin, SC 29662
Phone (864) 329-4211

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, 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": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1225316904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "PSC 557 BOX 793",
            "city": "FPO",
            "state": "AP",
            "postal_code": "963790008",
            "telephone_number": "864-630-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 KINSTON HWY",
            "city": "RICHLANDS",
            "state": "NC",
            "postal_code": "285746271",
            "telephone_number": "910-389-6749",
            "fax_number": "910-324-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "MEGAN",
        "middle_name": "DANIELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-28",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richlands, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.