Active NPI
Megan L Santos, ATC
- Athletic Trainer
- Leesburg, VA
National Provider Identifier
1235777459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0126001540
- Practice address
- 415 Dry Mill Rd SW
Leesburg, VA 20175-3409 - Phone
- (571) 252-2010
- NPI assigned
- Dec 18, 2019
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0126001540 | VA | Primary |
Addresses
Primary practice location
415 Dry Mill Rd SW
Leesburg, VA 20175-3409
Mailing address
415 Dry Mill Rd SW
Leesburg, VA 20175-3409
Phone (571) 252-2010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0126001540 | Other | VA | COMMONWEALTH OF VIRGINIA BOARD OF MEDICINE LICENSE |
| 060802096 | Other | NATA BOC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0126001540 | VA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576627200000",
"number": "1235777459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 DRY MILL RD SW",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201753409",
"telephone_number": "571-252-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 DRY MILL RD SW",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201753409",
"telephone_number": "571-252-2010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "MEGAN",
"middle_name": "L",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-18",
"last_updated": "2019-12-18",
"certification_date": "2019-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VA",
"license": "0126001540",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMONWEALTH OF VIRGINIA BOARD OF MEDICINE LICENSE",
"identifier": "0126001540",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATA BOC",
"identifier": "060802096",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.