Individual provider Active NPI

Megan Kressbach, PT, DPT

  • Physical Therapist
  • Fairfield, CT
National Provider Identifier
1225592009
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
400 Mill Plain Rd
Fairfield, CT 06824-5048
Phone
(207) 841-9708
NPI assigned
Jan 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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 Primary

Addresses

Primary practice location

400 Mill Plain Rd
Fairfield, CT 06824-5048

Mailing address

7 Reservoir Rd
Beverly, MA 01915-5501
Phone (978) 524-0333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230531000526 ME Practitioner - Physical Therapist in Private Practice 2062841687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freeport Physical Therapy PAGroup PAC ID 0042313819, 2 clinicians

Practice addresses (Care Compare)

174 S Freeport Rd
Suite 2C
Freeport, ME 04032-6145
Phone (207) 865-0004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Freeport Physical Therapy, PA Physical Therapist CurrentSince Apr 1, 2023 Accepting new patients

Locations

174 S Freeport Rd
Ste 2C
Freeport, ME 04032
Phone (207) 865-0004

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.

NPI Registry JSON

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

{
    "created_epoch": "1548460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1225592009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 RESERVOIR RD",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155501",
            "telephone_number": "978-524-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MILL PLAIN RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245048",
            "telephone_number": "207-841-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRESSBACH",
        "first_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-26",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.

Verify at the official NPI Registry.