Active NPI
Meghann Mara McAndrew, DPT
- Physician Assistant
- Douglas, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1259
- Practice address
- 111 S 5TH St
Douglas, WY 82633-2434 - Phone
- (307) 358-9464
- Fax
- (307) 358-9330
- NPI assigned
- Jun 17, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1280 | WY | |
| Physician Assistant | 363A00000X | 1259 | WY | Primary |
Addresses
Primary practice location
111 S 5TH St
Douglas, WY 82633-2434
Mailing address
PO Box 1790
Douglas, WY 82633-1790
Phone (307) 358-9464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090826000885 | WY | Practitioner - Physical Therapist in Private Practice | 1254486251 | Reassigns benefits to 2 organizations |
| I20240716001372 | WY | Practitioner - Physician Assistant | 1254486251 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Yale University School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
475 Yellow Creek Rd
Evanston, WY 82930-5109
Phone (307) 789-0726
Hospital & facility affiliations
- Memorial Hospital of Converse County
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1280 | WY | MD | Physical Therapist |
| 1259 | WY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Health LLC | Current | Accepting new patients | |
| Bear Lodge Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
| Big Country Rehabilitation,LLC | Physical Therapist | Current | Accepting new patients |
| Douglas Med Spa LLC | Current | Accepting new patients | |
| Memorial Hospital of Converse County | Current | Accepting new patients |
Locations
598 W 900 S
Ste 230
Woods Cross, UT 84010
Phone (385) 403-0410
700 E Center St
Douglas, WY 82633
Phone (307) 352-8946
119 N 3rd St
Douglas, WY 82633
Phone (307) 358-5244
111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200
475 Yellow Creek Rd
Evanston, WY 82930
Phone (307) 789-0726
Interoperability endpoints
- meghann.boggs.1@14719.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Physical Therapist
- Sundance, WY
- NPI 1558690099
-
- Physical Therapist
- Douglas, WY
- NPI 1366493264
-
- Clinic/Center
- Douglas, WY
- NPI 1548976368
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1265669287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1790",
"city": "DOUGLAS",
"state": "WY",
"postal_code": "826331790",
"telephone_number": "307-358-9464",
"fax_number": "307-358-9330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S 5TH ST",
"city": "DOUGLAS",
"state": "WY",
"postal_code": "826332434",
"telephone_number": "307-358-9464",
"fax_number": "307-358-9330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCANDREW",
"first_name": "MEGHANN",
"middle_name": "MARA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-17",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "1280",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WY",
"license": "1259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglas, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.