Active NPI
Megan Danielle Gentry, PT, DPT
- Physical Therapist
- Richlands, NC
National Provider Identifier
1225316904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6498
- 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
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 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6498 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Medical Group Inc | Physical Therapist | Current | 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.
-
- Physical Therapist
- Greenville, SC
- NPI 1386629558
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.