Meagan Gough, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306605602 Issued in VA

Practice address

350 Hioaks Rd
Richmond, VA 23225-4018

Phone

(804) 320-1412

NPI assigned

Feb 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1225629009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15530 COSBY VILLAGE AVE APT 313",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238322140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HIOAKS RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254018",
            "telephone_number": "804-320-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUGH",
        "first_name": "MEAGAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306605602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karanbir Gothra
• Mark Steven Gottlieb, D.O.
• Riki Gottlieb, D.M.D
• Evelyne Goudreau, M.D.
• Katherine Gouger
• Ruth Rebecca Gough
• Brittany Gould, PSY.D.
• Charles Frost Gould II, M.D.
• Dallin Russell Gould
• David W Gould III, M.D.

• Physical Therapy Assistant in Richmond, VA
• Providers in Richmond, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.