Megan Elizabeth Pengra

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

17-04088 Issued in KS

Practice address

645 E Iron Ave Ste C
Salina, KS 67401-2697

Phone

(785) 414-9422

Fax

(785) 414-9422

NPI assigned

Dec 3, 2024

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

Enrolled in KS

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revive Integrative Health LLCGroup PAC ID 1456729193, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Revive Integrative Health LLC.

  • Physical Therapy Clinic/Center
  • Salina, KS
  • NPI 1184387235

  Occupational Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1245056423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 E IRON AVE STE C",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674012697",
            "telephone_number": "785-414-9422",
            "fax_number": "785-414-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 E IRON AVE STE C",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674012697",
            "telephone_number": "785-414-9422",
            "fax_number": "785-414-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENGRA",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-04088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Edward Pecore, CRNA
• Jamie Wendell Pedigo I, LPC
• Jennifer Diane Pekarek, ARNP
• Katie J. Pembleton, LCMFT
• Stephanie S Pena, APRN, FNP-C
• Brett Alan Pennington, D.C.
• Jourdan Perkins
• Michelle L Peters, LSCSW, LMAC
• Anna Marie Peterson
• David Alan Peterson, MD

• Occupational Therapist in Salina, KS
• Providers in Salina, KS by specialty
• Occupational Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.